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-- -- i <br /> I i <br /> � ELECTRICAL PERMIT AP�'�ICATION <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STFEET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX a25-257-8857 — www evereHwa org i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � I <br /> � II PRO EC�D ESS � � � / S � S L✓ <br /> I <br /> i <br /> „��'�/'ti ! r �.` /�1�r �"�' YC.f <-� - <br /> UvmCr MaRAAd�ess Crty ---------Sla!erZip -- Phone I <br /> I ---- - - - ----- - —. ' __-.. . _ I <br /> iena.�t Mad�ddress City 5!ale2ip Phone <br /> ��D.J '1 �v N �1T �1_�_/�'t . ��-- - --- -- --- - - <br /> EleclricalContiac�or lMad�dtlress Gry Slatell��p Phone <br /> Stale Licer,e Number Comract Price of Work <br /> Piop�seA Use ol HudAin� Contact Person (Ptan Review) <br /> Syuare Foo�aye(If residenUal new r.�mslnicbon, remodel or adddion) <br /> UescnpGon oi Work 10 Be Done: _ �7_ �'h� ✓ f�' �✓{v_ �J�'�_ __ __ —.—__ <br /> 7 — <br /> NOTE WIRING IN NON �W[I I INGS IS RCQUIRED TO FEE <br /> BF. IN KACEWAYS, MC OR AC CABIE . <br /> �� � U� <br /> CITY OF EVERETT LOCAL SALF.S TA% CODE IS 3105 --- - - - - <br /> I hem6y cedi/y lhaf I h�ve read and exermned Ihis epplir.afinn and know fhc same fo bc lrue and <br /> conecf �ll provrsrons o/laws and ordinances gooermng Ihis fype nl woik wrll te compleled � I�^�� I D I <br /> whr.fher specified he�cin oi nol !he g�anlrny ol a pennrl docs nof presume to grve nulhonty fo l� <br /> vrolafe or canr.el flre p�ovisions r,l any olhe�slafe or local/aw regulafiny consfruction ur fhe <br /> pednmi�nce ol constnir.fion. ih��f I am aufhorrzed by Ihe owner o!fhis roperty!o pedorm Ihe <br /> work lor which epplice6un!s rrrade and I wmply wdh fhe Slafe ConfracP�s 1 aw 18 2/HCW and <br /> 296200 WAC. <br /> // �s�J/ _ _������ _ <br /> - - ��ynaw��ZL�- --- - ---- �e � • - - - -- <br /> I <br />