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�LECTRICAL PERMIT APPLICATION <br /> CITY OF EVER�7T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425257-8810 - FAX 425257-8857—www.evereKwa.org <br /> APPLICA710NS ARE ACCEPTED FROM B AM TO 4 PM <br /> � DO2o 12-1� r s� ��/��f �r.�e��hel� ��� <br /> PROJECT ADDRESS <br /> L�iG1YJG1� 2g � !'l I .� '�i��' � / 1�/ ���� <br /> OYrtx.f Mail Address CGy --'��S Phwie j <br /> �J i <br /> G,'� I <br /> TonBnt _ Ma�l�ddmus Ciy SWIeZp Phone <br /> ���,c�sl��i f/�'�r�r���?�.s��r��l����.���r,1���vy���2 �,o�. <br /> eiectr+cai conanccor r.�i Ewac� c+y <br /> pre� �ee �I�y� S �� , � <br /> �tate�icense Number Contr d Price of Work <br /> V.� �/1� 1/1 � � � C� C �U�1 �� <br /> Pro�x�so�Use ot 8 ild Con Person (Plan Roview) <br /> 2Z2� Sq .��- <br /> Square Foomge(I(r�sidenDaf new construcUon,remodot or addition) <br /> Desaiption of Work to Be Dona. /iV0 Ul/�� /V-(i�// /\�J/✓/-G��/�P� <br /> NOTE: WIRING IN NON-pWELLINGS IS REQUIRED T'O FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> �Q OLI <br /> CI7Y OF EVERET7 LOCAL SALES TAX CODE 13 3105 <br /> I heraby c�rti(y tliat l hevo raod and oxamnotl this applicaGon and know Uro sm»a fo pe hua and <br /> r�rnxY. All prcrovisial5 nl faws end ordmances poWml�g fh�s fype af wwk wrll be cptnplefed ,, � � <br /> WfNTM1@f$()BCl��l6(l�1/1 0/ROt. 711d y!8l16/KJ O(8 pBfiill��3!)OIprasu/fIQ 10 f,�IVB i7Ufh (0 <br /> vidato or r�nCQl(np proviSio�s of any Othar sfete wloail lnw rogu e! fin�conabuc6.m or tl� � � ��1 � J <br /> peAcxrnancv o,consbucCan Thnt 1 am authonzod Dy Ne amer at this pm�wfty tn parfam th� <br /> work Iw whid�eppliCaGon u mado arrd l oomyly witA fAo Stofe Cantrsclas Law f 8.27 RCW and <br /> 296. 00 WAC. <br /> �� �'���yl i� <br /> ignnture <br />