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Jul 31 07 02:1?p P 1 <br /> { <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX425-257-8857-www.everetlwa.org <br /> APPUCATIOiiS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> `���� \ cL�(`(tl�LC� . �'�. <br /> PROJECTADDRESS <br /> �e 1�5� Mn�CT\`(�\5 ��j�� �-C VYNt 4.. �'C F-��l.J-c� �h�� ���C— <br /> O�Nlef Mail Address Ciy Slale2ip Phona <br /> t1d�\'� \' \LN�''t�n\S y33� i'C'l�d`l� �f. �V�N�.�C W� �"' �'�V <br /> TBnaM M1:ailAddiess Ciy StalNLip� �y-` �t\� <br /> \\ \ I'� � <br /> �'C�2.X ��Ll.��(\��`f`l_ ���d� � ���rTIX.—{ � , �J.V� �S�rb!' y�Wv. <br /> EleGricalContractor MaitAddres, p Sta�efZip Phone <br /> �Qv.�lcE."S..°�5�M5 ��3�5000 - �`�2a;.,��- <br /> State License Number Contra Price of Work �.��5 <br /> ����� ���,1,� �����,� �,.i� T.,,.a <br /> Proposea Usc 1 Building Contact Person (Plan Review) <br /> DescriplionofWorktoBeDone: [J(4�_�OY�S\SJ�L.��O`c� ��y�,AK Tlt���l �v.�-c.\\��J. <br /> W\l..CcT �p C O[� <br /> NOl'E: WIR�NG IN NON-DWELLINGS IS REQUIRED TO FFE <br /> SE IN RACEWAYS, MC OR AC C:ABLE. !�n n`�O <br /> �V <br /> CITY OF EVERETT LOCAL SALES 7AX CO�E IS 3705 <br /> !fiereby re7dy that 1 have reed and examined fhis applicafion and know the same to be Vue aid <br /> conecl. Allprovisionsoflawsandordinnncrsgovemmglbis7ypeofworlrwillOecampfefed <br /> whefher specdicd heroin or not. The granting ot a permd does ndp�esume to give aulhonty fo <br /> violate or cancel the piovlsions olany other sfafe orlocallaw regulatinq cons!rucfion or fhe <br /> performaace ol conslrvchon. 7hat I anr aufhorized Ly the owrer ol fhis propertv to pedorm the <br /> work!or which applicaGon is made and!rompfy witY,the SYafe Crntractors La�v 78.27 RCW and <br /> 296.200 WAC. <br /> � —�� � 01 <br /> ig 1 re �� Date <br /> EDzo7 'I� <br />