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� � <br /> t9RY-26-200'� D3:51R FROh1:PROFESSIONRL ELECTRI �FC 435 1182 T0:4252578957 P. 1 <br /> � <br /> I ELIEGTRICAL PERMIT /�PPLIC�,TION <br /> I CITY OF EVERETT PERM17 SERVICES <br /> 3200 CEDAR STREET, EVC-RETT, WA 98201 <br /> � 425-257-8810 - FAX 425-257-8857 -www,everettwa.org <br /> i . <br /> APPLICATIONS ARE ACCEPTEC FROM 0 AM TO 4 PM ���1,. �, S, <br /> C EJ� OI—�'�'j <br /> P�� � 3 �'" S r <br /> T ADDRESS <br /> %�c-1'e /J�r�./o.•.�/ <br /> OWnet Mall Addrosa Clly 3tate2lp Phono <br /> �'.�e ,;2 �/.�t, 3 ��`' S% �u�ese r1' /.i/� � d'j o 3 <br /> Te ent Mait Addross Clty Stalo2lp Phono <br /> �/� ��o <br /> !�/'�T_PSS i a.-,_ � �'/a�-�r,c T � �O� a '-/5 J�i/ -, h / /f� �'i 4�J 3 `/3J- G'd J1, <br /> Eloctrlcal ConUector Mau qddras's Cit ' <br /> Y Siate2lp Phono <br /> /-�z0`/'i`_' 1077 �� ,�5� <br /> Steio Llconso Numbor Conlrac� Price of Work <br /> ����e_ � <br /> Propos�3d Use ot Bulldlnp � Contact Porson (Plan Revlew) <br /> Oascriptlon af Work lo Oo Done: �✓�,/ q�p�,�cc �v�,/ �'�✓c� � �ri h n <br /> _�/m f r' �1.— f <br /> .� .n.._o . . , _. .. , <br /> NOTE: WIRING IN NON-DWELLINGS IS REqUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CIT:�OF EVERETT LOCqL SALES TAX CODE IS 3105 <br /> 1 horob cortl/y tho(1 havo reod and ex�m/ned fhis eppllcatlon antl know fhe same fo be We end <br /> corrrc�All provlslons ollaws end ordlnences goveming thls type o1 work wlll be comp/efed <br /> whe(her speclA�d hore/n ornot The grantlnp of a pormit doos no!prosume fo glve authority to <br /> Holafeorcencolthe proNslonsolonyotltersfatoorlocallawregu/e(ingcons(ruct/onorfhn <br /> perlonn�nr.�o/construc(/on. Thaf I om Qufhonzud by fho owner o/th/s roperty fo porfo�n the <br /> work for whlch eppllca(lon fs medo and 1 complY�v/fh fhe Slofe ContrecPrs Lew 18.<7 RCW and <br /> 286.200 WAC. • <br /> �� � ���� � ' ��-, � �� �� <br /> s Dnowro '-. • <br /> �ate , <br /> � <br /> � � , R.w�.� �,.�,. � <br /> ,- ,. ;;,. , _. . . _ _ : ., . _:.. _, <br />, , `. » x..,yM :- . = <br /> --- ��:r,:� .�.��.. 3 ,— , - �- - � - _ - ' <br />