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� <br /> OS/lE/201a lU:d4 �53-631-7754 �'ROVIGENT f_LE�C PqGE O1/�? <br /> • <br /> � — ------ -. . . .__— — --- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRFET, EVERETT, Wn 98201 <br /> 425-257-8810 - FAX a25 257-8657 - wunv.everettwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM <br /> (�! I lo�� �t- Se <br /> PROJECT ADDRESS <br /> �►' e�s4�ne,�e�' CI�ZH Cvwll_�- __� qgog2 �ZS-�X�I�i► � <br /> Ovmer A7a�1 Addies; City Stoir�lio aaone <br /> 7enant 1AanAtltlress Gty SlaleiLp � nnune <br /> Q�l�c��j��c—��x�°g� Cv��n c�i�l�-253-co3i��5o <br /> ElBctnr.al Coniraqpr htaii Mdress _-----e�._��__. S�nv2p Pnone I <br /> -pV1����3Co2 - — -- <br /> Stale 1�censn Number Covtracl Pnce of Wnrk <br /> Proposen Usr o1 Bmltl,ng COntad Pe sa �an Rene�_, <br /> Descnpt�on ot Work to Be Done 1 K,l�.+ — (i"v_ '�_ST F' �_��t' �T ��/�'� <br /> NOTC WIRING IN NON-DWELLINGS IS REOUIREU 70 FEE 1 <br /> OC IN RACEWAYS, MC OR AC CABLE I <br /> CITV OF EVERETT LOCAL SALES TAX COUE IS J705 <br /> __ �0� �' _� <br /> I hBlo�y CBrtdy Ihof I h.ve rcatl pnd niainnrad ffr�s apphcehcn and Nnow the samc(o be lrun nnd � 1 � /, r _ (j� � <br /> corrocr All prov�sions ul faws and oNm�nces goveminq Mrs lypc ol worh w�tl Do cromplofed l V J � V <br /> who(hor specfied hcre�n or nnt 7ho g�anhng o/a pemnf Dons nofp resume to qrve eulhonry to <br /> vrolate n�cancel the prnvis�ons o/any otho�stafe or locai law regulehnq cunsWe�ion or fhe <br /> peAormance ol consfruUion That I am auMonzed hy fhe ownei ol fhrs roperry fo peAomr fBe <br /> �vork fa which npplrcaLon is madc and I compty w�M fhe Sfefe Con7ecPrs Lnw 18 27 RCW end <br /> 296 200 WAC: <br /> ___(_-'^'��._. -�^'�" �I ((J I�� ^ <br /> S�g�awre � --�- Date - -- <br /> I <br />