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ELECTRICAL PERMIT APPLICATlON <br /> CITY OF EVER�7T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 5-11 �f> 7 <br /> 425-257-8870 - FAX 425-257$B57-www.everettwa.org �O 7o S�� J <br /> (/ <br /> APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br /> ���"� SMAi�'h AV�. <br /> PROJECTADORESS � � <br /> Owner ntenAtldre�e clry SWN21p <br /> R�ary <br /> Ql/�tI ■ I ' <br /> Tener� ldall AtlOre» Gly �� <br /> SUte2ip PhOne <br /> � <br /> EleclnqlConhador MBNAOGnN + ! <br /> ��b Phorb <br /> Gve.,o�t ssz33 CT' �p,o• co <br /> State Llcensn NumEor <br /> Contnct Pnce of NbAc <br /> • <br /> Propese0 U�o of wlCln-�A <br /> Contaq Pereon (PMn Raview) <br /> bescr plion of Work m Be Dane� �Q�j V���a� ,L� ��� <br /> ���. <br /> NOTE: WIRING IN NON•DW�LLINGS IS REOUIREp TO �E <br /> �E IN R/10EWAYS, MC OR AC CADLE. _� . �L� <br /> � <br /> � <br /> CITY OF LVERETT LOCAL 8ALE�TA%COpE IS J706 <br /> I herehy cerh7y thel I have inad ena examined th15 applicatlon anOknar the sems tp br yue end �—��� ` ` <br /> corrort AIl provisrons ollews en0 ortimancos poveminq fhis fypp ol work will ba complefed - �� ���!`�� <br /> whelror specihed hernfn or not The yrenting o!a pB�Tnit Ooes nof resume to glve authaity to <br /> vio�afe or cnncol Mo prows�ons ol any ofher stete nr local lew iepuPaBnp const�uepon a(he <br /> poibrmanco ol conshuct/on. That I am autAonzed by the owner o(thia�ronerty ro penom,me <br /> work!or nn��h applicahon is ma0e and I canply with fha Sfete Conhac rs Lew 18.27 RCW Bnd <br /> T WqC. <br /> s • Il • O � <br /> SignoWr 0�1� <br /> 'il 3F"d 1D:+ _�',S �3'�, I�!'I�i�r,�S 8d66Tb£90ci BE�6T L007,/TT/50 <br />