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�JC� �J. ��i�J 1.�4F1! <br />�iQ. i � LA �. i <br />ELECTRICAL PERM�T aPPL�CATION <br />CITY OF EVERETT PERMIT SERVIC�:S <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wurw everettwa.org <br />APPLICATIONS AKE ACCEPTED FROM 8 AM TO 4 PM <br />�D2�� ��t�"�✓e. sP. �,��,,�-1�- w.� yY"�� <br />PROJECT ADDRESS <br />Tenarl <br />Ideilndd�ess <br />llail Address <br />Contractar ' ��,�u nddmss <br />1�+��_�� G�ORk <br />State License Number <br />P� ed Us oi 6uildmg <br />Sf' �., ic <br />_��i <br />Cily <br />Cliy <br />�� <br />Cny <br />Sla�elLp <br />Slai�lp <br />Slate2ip <br />�-3,Z��y <br />1 � `a 3`�3 <br />?hN10 <br />PponB <br />+�2 � <br />_ +�yv <br />Fneno <br />_�� °° <br />Cjo�nUa,�c,'t Prico of Work <br />✓hyL��/ii-1 .f% C.O� <br />Conlzd Person (Plan Review) <br />Descnption ot Wark to 0o Pone: ,L���%%�.� JN B Y� y ��/7,e1/ss �^/ ���"�"�" <br />NOTE: WIRING IN NON-DWEI.LING5IS REQUIRED TO FEF. <br />B[ IN RACEWAYS, MC OR AC CAeLE. <br />CITY OF EVERE7T LOCAL SALES TAl( CODE IS 3105 I� � � <br />1 herchy ccRi/y tbaf I heVB I98d .70d 6XBRIi�Cd thiS epplicdtion end k�0�vlhB Sd�1B (0 09 hU6 and <br />corroct. N/ provlslons ollows und admancas govom�ng this (ype of work wil! be comp/eled J I I <br />wAe�her specificA nnram o� rroL The gianfing ol n permrt docs not presume fo g�vo auPionty fo �I �� <br />viu�ate a cancol !he provisions o1 eny ofhcr sfat: or iocal law r�gulatin�pconstrucllon cr!hc 2 <br />Work o wh ch applic t1oC�n 1s mode and�l �mp y�d�lth�e Sfafo Cor hactorsPL� y 18 27 RCW and <br />296.200,4YAC. . <br />C. <br />