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oct 21 05 12:14p <br />p.1 <br />E�.ECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SI:RVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �� ` ��-as <br />425-257-8810 - FAX 425•257-8857 – www.evereriwe.org � O 5/D – l�i � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 GREDIT CARDS ARE NOT ACCEPTED <br />S�¢ / �/ J'LNd,�� �,,�1�.U�F. <br />PROJECT ADDRE3S <br />Own�r <br />Ta�ent <br />ElecVlcal Contnttor <br />�i'�-A N SS/Y� G,l' <br />Sbro Uanu Numbor <br />Proposo� Idin�p — <br />De�crlpGon of Work to 9s �arn: <br />M�u AOEnq <br />Mdl AEtlross <br />Mall ACdrwo <br />NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED 70 <br />BE IN RAC6WAY5, MC OR AG CABIE. <br />CITY OF EVERETT LOCAL SALES TAl( CODE IS 3100 <br />1 heroby certify th�t I h�ve road and �x�mined Nls appllnUon end <br />cOrtfct All proNSlOns allews end oro'mencsa povrmfng this typ� <br />wh�th�r spedllstl h�nln or not. ThB O�ntlnp ol � Aerm7t tloa5 OOt <br />vlolet�oruncdt�e provlslon ofenyothershhoNoull�wropu <br />p�Aorm�ncr of consiructlon. �pt 1 rm �utnonzed by Ne owner oi <br />work l��r wAleh epplicatlon Is meds �nd I compry wIM tA� Stat� Cor <br />2D6.200 WAC. <br />qty <br />Gty <br />pH <br />Stawl90 <br />sdhrov <br />COnlroCt PACi Of WOfk <br />Cont�U Penon (Pl�n Rwlew) <br />to ee tn.•e and <br />ompl�Na <br />r �uthanfv to <br />FEE <br />3s' �- <br />A�ona <br />