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�7/31/2014 12: 51 253 H1-775a FpD•dIDE��T C�EC7P,IC GnG'� pi/91 <br /> --- - -. • <br /> � -- -- - — - - --- <br /> I <br /> ' ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERFTT, WA 98201 <br /> � 425-257-8810 - fAX 425 257-A857 - wnvw evorettv+a crg <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �03 � � 0'1'� SYr S� <br /> iPP.OJECTADDRESS <br /> WS1����1���Z:I��Si`�L��il�� ---�-'� OQ�jZ �2>'Z�Od��� <br /> Owner Mail Atlare59 — � � <br /> Ciry Stale�Z�p Phr,ne <br /> Tenanl -_____ '_.__._MadAdtllese �_._ � --� <br /> C��Y Stater2ip apone <br /> P��(I��,�q1G�1C��Xrlog�l C�/I C,�A��a-253-1o'�Il�So <br /> E�ect�ieal Coniratlor r,�nii adeross �.. State2b Nnon� <br /> �l..�Io3C�. � <br /> S!aie Li;xnsa N�mber � Gcntracl Pririe of Work///'''��� �- <br /> __ Y- �_� <br /> Propoaed Use of Budtlmg Centac!Pe .c (Plaq Revicw) <br /> DAscr�ph.on of WoM�o Be�one 1�+�,) � 71��_�(\_�_2��(� <br /> t ' <br /> _-__ . ._____. .._' ___. __'.__. ._ ...�L_ . <br /> _—_ __. —'____._ .____ _ -�--� <br /> NOTE WIRING IN NUN DWELLINGS IS RP�. cED TO FfF. � � <br /> R[ IN FtACEWAYS, MC OR AC CAOLL <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS J705 "" �O ,� - -- I <br /> I n�robv ccrtr/y liral l nd�,rcad and exarmne�tlus apphcntron and pnoa�fhe same fo Oe!•ue an�Y /, � �O� �� <br /> ronetf All provis�nns ollaws and orVrrrances govommq Ihis rypc ol woik wdl�o curnplutod //. � <br /> K�7PIher SpeClfixd hBMv7�r not Ihe yranlmg oI a pormd doos nol ivsumn fo grvo authonry�o C/ <br /> wolofe u�canml!he prows�ons ol any olher stofo or locel law reguPAng tonsNucBun or fhe <br /> peAormence o(consfruc6on Thaf I am aufAonaed by fhe owner ol Mrs proper}y fo pe�lorm!ne <br /> wo�k Ier HMclr opphcafmn is maae ond I compty wdh Me Sta(e Conhadors Law fA ?7 FZCW'and <br /> 29G 2� <br /> ��- -1, ��y <br /> ti�9�.11urx U ah• ._'_— ' <br /> __ '�__. _ _ --._._"_ ____ _�_'_. �___ I <br />