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p. l <br /> s <br /> ELECTRICAL PERMIT APPLICATI4N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7REET, EVERETI', WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1�05 2Lc[� n /� <br /> PROJECT ADDRESS 7 1-f <br /> ^Z.S <br /> S� N� t�.�1c /1_o.S ILvu�c,�1ti �i/ �tPzo/ QSGD <br /> Owner A1a11 Addrow Cly Stata2lp Phone <br /> Te�Ont M1iallAddresa City StaWZlp �2 Phon� <br /> S <br /> ���u�r�r-�c, rr,S 3�o i ��r .F.li �_ >dz d,� �>z/G,/ <br /> Eleclrlc5l CAnlraclOr htall AOdrotf l:ury Smt�p Phona <br /> �l'c-..fni.rl �y2 L�� ' <br /> State Ucense Number " Contract Rico of work <br /> f� <br /> Proposod Use oi Builtling T� Contact Person (Plan Revlew) <br /> Descdptlon of Work to Bo Done: N C �o� � � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �+��� <br /> LJ <br /> CITY OF EVERETT LOCAL SALES TNC CODE IS 3105 <br /> !heroby cortlfy that 1 havo rppd end nxamined this epp1lcaHon and know the same fo be uue and <br /> cOrtecL Al!provfslons a/laws end Ordln�nceS yoveming(hf5-type oI work wlll be completCtl - <br /> wh61h6f specfflOd hCfglR 0/not Thd plenUnp Of B p6n7nf doOS R02 prosum0 t0 plvB ButhodN t� <br /> vlolefe arcancel tha provfsfons olary ofheratefe orloCellewroguletlnp constrvCBon orthe' <br /> peAormertce 0lcOnstrticf/on. That 1 am outhorlxed by(he owner ofthlsp ropeRy fo pe�fOrm the <br /> work for whlch eppllcetlon Is mede and 1 compty with fha Sfeie Contractors CBw f8.27 RCW an9 ' <br /> 296.2G0 WAC. <br /> � . 02 . <br /> nah:re � aie <br /> �� <br /> L... /�/-� I` i�7 <br /> / <br />