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( i � <br /> � � ' <br /> � ' <br /> � <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 GEDAR S iREET, EVERETT, WA 982D1 <br /> 42�r257-8890 - FAX 42�257-8857—Www.e�enetlwa.org <br /> APPLJCA710N3 ARE ACCEPTED FROM B AA1 TO�PM <br /> I ����1 I�1�' l�ti�is� �� G�Y�e��i�1d��'� ✓�� <br /> PROJECT ADDRE33 <br /> LGi1�J�r� 12�'l� �a � v /�, �,r�/��l�'��� �2��� gy�' l� <br /> O�hnOf IIP,ddreea � C8y � Phona <br /> Tenard � � MailAdd�ess Clry Ste�e1LC Phone <br /> Pr c � � vn���c����, ����r����ls� r�m��� a2 ��) �2s��� <br /> ElecNiql ConVactor MaG Address C�b Sl��9ILfp rnone <br /> Pr�ec i e� 9��l 5 e. oa <br /> s te ucense Number Pri or w«k <br /> � � ,J�J` /� drj l � <br /> PnK�Use of Bull g Contact Person (P Fteview) <br /> Desaiption oi Wor1c 1n Ba Done: <br /> U /�'1 f � <br /> NOTE: WIRING IN NON-OWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVEREIT LO�A1-SALES TAX CODE IS 3705 <br /> f hereby ceitily ihet 1 have reed rtnd examrned fhis applicefion and know ttie same:^be irue and �)-Zb3_ ��2 <br /> col�et[ All pmvlslatc of lews and ordinences govemir�g Uus rype of wak wri!�e canpleted <br /> whether speci�ied Barein ornot The 9�n6ng of a permd does notpres�me to gNe authority fo <br /> �iolate or cancol tho �ovlsions of eny other state or foca!law regulatlng constn�ction or the <br /> pelformance otconsguction. That 1 am authorized by the ownerW tnrs property lv perfonn the <br /> 9 zfor�AcCh epplication i made and!compry with the Stete ConMactors Lew 18.27 RGW end <br /> ���t i2 <br /> ipnatwe Date <br /> I — <br />