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idar. 4. i014 3: 39P'�9 So���e� Sec�rilv 1 -.c So. 0611 F. 1 <br /> ELECTRICAL PERMIT AFPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET', EVERETT, LVA 98201 <br /> 425-257•8E10 - FAX 425-257-8857 —�wdw.everettwa.org 3 --�S—�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C I��3�+/ <br /> ) � I � I�.��--nr�o�f�. ��Q� <br /> PROJECT ADDRESS � �Z� <br /> I�la S��U� 25� ncs� ����— 2 S% ' (o Z� <br /> Ownef tAall Address �ity SWleRip Phone <br /> T¢n2nl �dail�daress City Statc/Zip PhOne <br /> ���J rI-!'0 I �G�t� ��� I l�i��t�'�.iC4 t1/Q]�P�- W{E �'I�?01 ����(�SS <br /> F.lectrical Contracior Mall Addiess Gry State2�p Pnone <br /> Sox�z i P x�'��'� 7 � % �' � <br /> Stale License Number Contract Prl6r � Work <br /> �S��C�-�'LC.Jz_ _ .��rt.5Y10ux1-D_�°J� <br /> ProposeJ Use of BuiWing Cantar.t Petson (Plan Review) <br /> Dusc�iplion of Wvrk to 0o Dnnc: � V� 4��-W�� 1 ' -J ��1! f �-�" ti <br /> 7 i <br /> --� — <br /> _ _ coi��`!-r'a l ,�- C,�.e ;c;e�s� 1 /t� ;, <br /> I/� <br /> NO7[: WIRING IN NON-DWEI_I_INGS IS RF_QUIft[D I O � f-[E <br /> 6E IN I�CEWAYS, MC OR AC CAOLE. <br /> CITY OF FVER[TT LOCAL SALES TFll( CODF.IS 9105 � <br /> 1 hereby cerfity lhaf I have read and examined7his application and know fhe samc to be tr�e e�nd <br /> Currecf. All provisions ollaws and oMinances goveminy fhis type of work wlll be complr.lerl � <br /> whafher specihed herein or net. The y�anUnp o/a permrt Uoes nof resumo to give authority to 'I � <br /> violafe o�cnncel fhr,pNvisions v(any other sfe�fe ar lor,al l�w regi�Pfing eonsfrucfiun or fho .— ��-1 O�•O L <br /> perfcrmance of conslrvclion. Tfiaf 1�rn authorizr,d Gy the ownr.r o�this Proper(y(o peAomt the . <br /> wn�k�or which applica6'on is madc and 1 complv wifh thu Stafe Confractor Law 1 .27 RCW entl <br /> aysz wnr. <br /> � ' ' ��1��_ � ( �� <br /> =Sir�nat�r� oai^ <br /> �I.���— �� " , , <br /> i__ �� __`�._. � j���x,tt/��__..��__ _ <br /> U <br />