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� <br /> — :i <br /> ,°�� <br /> ELE�TRICAL P�RMIT �4PPLIC;ATION <br /> CITI" �F EYERETT PERMiT SERVICE:S <br /> ?200 CEDAR STREET, EVEREIT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—wiwv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEEI7&CREDtT CARDS ARE NOT ACCEPTED <br /> � � a I U ',��"� S�-• S� � F`v.e�.�-t� <br /> PROJ6CTADDRESS <br /> _ �� !'h.ev�rs iaio �a^d' �-�. �E � �"�.,.-e� u.�-qgaoy �ras �-��1� <br /> Owrn:f MailAddr95s City $latarLip Phone <br /> �D.'Vt-,x- <br /> Tenorrt Ma�i addrecs C,ry swcemP Pnone <br /> �rW;✓i r iG 1�C. 1463�2 �a�L/cl�,S4112o,m�cj, G�j q8�4� �F25' 347-U3CYI <br /> Elecirical Contrsctor Ma�l Address City SatelLp P�one <br /> ERw�til �L 9�3G� � ��a4. 9S <br /> S[ate Lir�nse Number c«,crarz Fnce or wcxlc <br /> I��S I��P�l'�G-Q. _____ _ <br /> Proposen Use of eu�iding Contau Person (Plan Review) <br /> Desctiption ot work to Be Done� _1• �l�•D�QC9— �n.� (p�S A-w, �7��(� <br /> (� ' f=t�--' <br /> al. �C9.�(Q,L'4_ -f �co �J[Y2rN �n.-QGL�-2Y5 Gv i'{-h !�,�a�� CukS <br /> � NOTE: WIRING IN NON-0WELLINGS IS REQUIR[D TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � CITY pF EVEREIT LOCAL SALES TAX CODE IS�705 <br /> � !hereby cartify that f hova read anAexaminod th/s applicaNai and knav fhe same fo 6e lrue arrd <br /> aorreCf. NI provislcns ollaws anU ordinances�overmnR Mis type ol Work v�ill hft comple(ed <br /> whetAerspecific�d horeln ornot. The flranfing o/a pem�it doos notA�•�sume(o glve authwrty to <br /> violntp or cancel(he pmvisrons of any oth_w stofe Orlocaf!Dw rvgulating consVuct�ar w��fh�e�� <br /> w�a w I di�rlp ca it�!s ma���d/c�om���ylfhlhe gafe�Cm�7 a�ctaspLaw 18.27 RC�aRd <br /> 796200 WAC. <br /> __�� —� .23 o�T U' <br /> � 35w�++*� oate <br /> �Ci7 I Q- !2 3 <br />