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m�+:�iu:,��.'i�ln 11: ;a aJ551;+n.��r� i-�FFICC LCf�nT 9'3�J E��i Fe,GE ��1/O1 <br />ELECTRI�:AL �ERIII�IT APPLICATION <br />CITY OF EVERETT PEFiMIT SERVICES 6—�0 <br />3?00 CEDAR STREE7', FVF_RE1T, WA 98201 �` <br />4?5-257-3E310 - FNC47�i-257-0057-www.everHttwa.org C1�� ��4{ <br />APPL.ICATIONS ARE ACC�PTED FROM 8 AM TO 4 PM <br />1 I � I 1 �S �_�__ -S � E vU,ver . �.c, �� <br />pRO.IECT ADDRESS <br />// F 11 �Z't NG7 C�L�K/*'1 � <br />? �� ��� � `-� l/3/�, !/a�A�jSF� <br />y z5 <br />.yvl.� <br />. � � ' l �"' c�L I.;uc.;Pf/ --- W� �(fa'�rJ�$' 7.,�Ui <br />T � �� V a � C���I� _-'��..11:7..._�. <br />Ownnf <br />..... MaU �ddm^.s CflY StalnfLp Phenn <br />TCll:lfll �_- <br />Mall AddrCS[. <br />Clty <br />Stntc2�p <br />Phone <br />� Y� L`( l.x.; l l_ Cl � - .__ �. <br />—" ' SlatMln Ppone <br />['IeetdenlConLrctor Mn�lnddress ���Y <br />Sta�e license Numbr.r <br />Pr�npos d Usr. �t �ul AfnS�— ��� <br />OeStription M Wnrk lo [ie Done. <br />_ 13��• �1� e t �,� -I ���__—.._. <br />NOTE, WIRING IN NON•UWEILINGS IS RG7UIRFfI TO <br />AF IN R�CFWAYS, MC OR nC CAUL[. <br />GITY (JF CVGRGTT LOCAL SALFS TAX CODk IS 1705 <br />Contred Pncc of Wvrk <br />�11 � S� <br />Contnd Pr,rson (P4�n Review) <br />I hemhV r.e�Nty Ihnf 1 buvn r�v+d . nd rxernnrrJ Ihis npp/lr.nfinn nnd knuw tbe snmr fo he (ruv and <br />cnrmr.f: All provisinn:: ollaws nnN nrtLnnnr,es r7r, inmlrrq fhis type ul wOrk will he complefPd <br />wfu!fher sp��ciGeJ hurvin or nnf i he v�.,,,n,: � �� n r��m�,r ���� �,�� pmsume tn 9�ve auflronfy fo <br />v�olalc vr c;m;:id flw• pmvi^inns ol nny ufher stntc or local iaw iegu afing rnnstnichun o� thr. <br />per/umrance ol con5lnm.finn ]fmf I nm aufhorized trylFrp uwnorol fhis property fo podomf the <br />work /or which applicnfinn is modc and I rnmpiv wifh flra Sfi/e Cnnfrnr.Pors Law 10.27 FCW nnd <br />29G .^.00 !NAC <br />�_=l;_�,.%-n,1 vt-� ..� -_ �__1� <br />---- -. <br />—'- s�n�nture �'��" <br />f'CL <br />�� �,.�� c'�l l <br />