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---� . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETr PERMiT SERVIGES <br /> 320D CEDAR:�?REE7, EVERETT,WA 88207 <br /> 425-257-8810 - FAX 425-257-8857—www.evereriwa.org <br /> APPl.1CAT10N3 ARE ACCEPTEb FROM 8 AM TO 4 PM <br /> lDa2� l�i ��d�S� �� <br /> PROJEC7ADDRESS <br /> �L1 'lL/�.ILLiL � C�U N 0 � <br /> Owner Mall Address ciry S[ate/Zip Ptwne <br /> YI �Gi/ _. ._. _ _ .//y��Q.2S�'��7�- <br /> 7B M�— MBilAddress City Sle�dL ��� PIronB <br /> � J � V � •. J - � �Y�'� <br /> E cal ConbBdor Mail Address CNy Slate2ip Ptrone <br /> ...����lP����G� --- ���� ._ .._ _ . <br /> te License Number CanUad Pnce ot � �IY I <br /> � � <br /> Pro Use of Bui Con Pefson (f'lart R9view) <br /> � 3(00 g Z9 �� �� <br /> Descxiption of Work to Be Done: <br /> � � /�G �! �J �� <br /> NOTE: WIRING IN NON•DWEILINGS IS REQUIRED TO FE� <br /> BE IN RACEyVAYS, MC OR AC CAB�E. <br /> CITY OP EVEREIT LOCAL 3ALES TAX CODE IS 5105 <br /> f hereby ceAiry fhaf 1 hava read arrd examined fhis eppJication end lmow the same to be hue end <br /> crorrect. All provisions of/aws and oni'mances gnveming ittis type of worR wil!He cornpleled <br /> whether speciheA hereln ar npt. The grsnbng of a pemuf does not�msump to give euthorlty to <br /> violate or cancel the prowsions d any oltrerstate a local law rogc aUng consdudion or Uie <br /> performance W calstrudion. That l em erdhaized by Ure oxt�e�o/lhis�ry to pe�fam dkr <br /> work for whlch application is and I cmipty wiU�C�e Slate Contracfors Law T8.27 RCW and <br /> 296 WAC. <br /> . , <br /> � /� / E I I o Q -/oZ <br /> Signature ate <br />