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10/31/2�i13 1�J: 2% 253-631-775d PRO'�/IDEr1T ELECTPIC �d�E �''_'O1 <br /> � � <br /> ELECT�2ICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVI('ES �� <br /> 3200 CFDAR STREET, EVFRET'f, WA 9fi.__ <br /> 425-257-8810 - FAX �25-257-8857—wenv.everettwa.ora <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> --- ----+ <br /> �0 �� ��� Q�, � � <br /> PROJECTADDRESS I <br /> �.os,l�.c,�4orYJ�or+ws Po 75ox INyLG j'►'��ll C,rc.�.lc G�E/'98G�Z 925-Zfn8-9�(I(. <br /> Ownor 'v P+tad AaUress City StatelL�o `"'�'�` I <br /> I <br /> i <br /> TC�BnI 1.1�'IkCAress City S!a�EQp Pncrc �� <br /> �'cavi�_nkUu�ric.1..,L Fa•Bo?c76g_z__�`�G�_on G.aA/980�{Z ZSS-Cc3(-77 <br /> ElecinCal Contractor �dail ncaress iy SI�;e2ip Fhcne <br /> �60d�£1lOs�LZ - --- I <br /> — — , <br /> State L�:,er�so Number Contract Pnce efVdcrk , <br /> U�1(y2���S�` ! <br /> � <br /> Proposetl Use of Bwlding Con!ad Per� Pla��Rev�ew) � <br /> Descnp;ion of VVork ta 8e Done�. �"`�' -S1 � � ���1 �� �� ��{'b � -----.----- <br /> -- - — � <br /> NOTE WIRING IN NON-DWELLINGS IS REQUIR[D TO FEE i <br /> BE IN RACEWAYS, MC OR AC CABLE. I <br /> q� . � <br /> CITY OF EVERETT LOCAL SA�ES TAX CODE IS 3105 <br /> -- � <br /> 1 hereby^_erti(y thdt 1 hdvC�Bad dnd Cx�11rii7CJ fhi5 2ppbcali0n dnd knOw fhB 58mB to bB Vue and � ' 7+I p _ �D <br /> correct. AI!prpvisions o�la�vs and ordinances governrny fhis rype e!�vcrN wd!bo complofed �j � <br /> whefher specifietl here�n or not The granting cl a pemrd Coes nof pmsume to,rive authority to <br /> vrolate oi canccl the prov�sions o�eny otnr,r stoto or local lau�regulat+ng constructron or tpe <br /> pedormance o7constructien. Thnt�am authonzed by tho ormer o!th�s propeAy to perlorm tho <br /> work lor which app/icahon i;mnde and 1 comply v.afh the Sfate Contracfors La�v 78.27 RCW and <br /> 296200 WAC. <br /> �l�.�n ��� "��3� � �3 <br /> � Date � <br /> I <br />