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May-16- 11 11 : 28A P '�Z <br /> 1 <br /> ' _..� .--�. ., _ <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-2 i7-8857 —wv✓w.everetlwa.ory <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2 3 '�`f�, �-� G� <br /> y��'G' 6 _ <br /> PROJECT ADDRESS <br /> iithG t�� CSui7 y G6 L 3iYF r [_u� �a,,.-Gl �����_'G'.) <br /> - D .� _ �..___". -_ _ � _ ----... .--- <br /> �-�---- -- �..__,. <br /> Qwnr.r -.. Mad Address Gry Sta1N/Zip ��11� ), 1 ne _ <br /> SF�- �z f <br /> ----._.__._._ .... . . ._... ._.___._..._. . . _. . ._._._...._ --- --.__ ...------------- _.__. <br /> Tf�IAIII �dHII AII(IIY.tiA (:II� ti1�1�Y.l�li1 N1IUIIY. <br /> y� �fL�'� 4 <br /> �y�i�i. Yr- 5't_�i `f ..�Jl'i-c�-�.� .j6 O� �G'r� -s-��!`1�-t' �vl�t,z/ ���i'/ 7-/�� <br /> /� �.-._ _... ...---, - <br /> ElAt:lnC:tl ConlrACtor Mad Addieas Cily State/i.ip Phcne <br /> �" �"l_ .y/V� s /'�2 �./' _��'�' =". <br /> Slule License Number Contrac, PGce o(Work <br /> /'"�S - <br /> Prnpntr.A Us�oi f3uilding Contxt Per.;nn (I�I.m Rcvir.w) <br /> �escription of Work lo Be Duna: �F ��c R� �"ti ' ���'t�Q�'�.___�-. i%r�. � <br /> NOTE: WIRING IN NON-DW�LLINGS IS REQUIREC TO Ff:E <br /> BE IN RACEWAYS, ��4C OR�C CABLE. <br /> CITY O�EVERETT LOCAL SALES TAX CODE IS 3705 <br /> !Berebvi certily fhat f hovr rr.�d nnd�xamined fhis applicefiuu anJ know tno samo to be tare and <br /> r.nrrnr.f: AH provlSi0q5 ollnws and ordinance.s Aa�»rning(his type �>I work wil!be camplefed <br /> whether;pr.c�fiod horein or noL The pranOnp ol o perrmf does noi pmsum�fo flive authorify fo <br /> viula(e or cancel the�rovisions of pny pthP�StatC OI'IOCaI l8w reBulalin,q construcfion or fh0 <br /> perinrrnance ol conslrucfivn. That!am aufhonzod by G1e oN'ner oi th.rs p�ope�iy fo perform fhq � D� � <br /> work tor�vhich apPlication is�naJe and 1 comply wifh thn Slafe Cor tt'acfors Lew i827 RCW and <br /> 1JIi.'L(J(i WAC. <br /> � � ,.; ,1�� . <br /> ��f��'i�.�� '-�_ /�:.��� <br /> � .... _ _ _ -- . .-- <br /> .,�.gnaWrc Data <br /> I,._. . . . . . ... .. . __.._.. <br />