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n�v IG 2010 3:27PM West Seattle Furnace 206 935-0735 p•� <br />d <br />ELECTRICAL PERMfT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42r257-8810 • FAX 425-257•8857 - www.everetiwa.org J� - a-�} �/ D <br />APPI_ICATIONS ARE ACCEPTEU FROM 9 AM TO 4 PM <br />��,\� ��'��` � �� <br />PROJECTADDRESS <br />OwnOt <br />Tenenl <br />1Aall AChea6 <br />Ma Adtress <br />Clty <br />�„Y <br />Electr�cel ControdOr Me�l ntldre4e �rY <br />�r � .vt,r�l��.q l� � D u <br />Slato Licenx Numbar <br />PropoeeC Use of Ouildinp <br />01 Work to Be Dano: <br />�/DIl-O�(-, <br />St�elZip Rions <br />5��:,Z,oa o� a � �°��. <br />Ste1;�Zip Phone <br />Contrect P Ot WOfh <br />�► r✓�,� � <br />Contact Po�son (Plan Ravlew) <br />NOTE' WIRING IN NON•DWELLINGS IS REOUiRED TO <br />BE IN RACEWAVS, MC OR AC CA�LE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I heraby cnrh'ry fhat I hava rnad antl eramfnod fhis app�fcuNon and Mori 7Ae seme fo be buo und <br />correct Al� wsions o� Imvs ond orcllnexes govemmg N� �s type of �o;:rti .vil� Do complelnd <br />whelher spoci iod hornln ornot. Tho grnnting ol a perm�t tlaos not nrosume to pi. o a�lhonty fo <br />wdole or cancal Bie pruvis�w�s o/ any clhnr sfafe cr /ucallu�c �eyulF�An;, ccnshuction or fne <br />p�l1C0 Ol can3�/uCtrOp. rilot / Bm Aulhrnizod bylhe rnv/'nf C/ /N4 P'�:pnrty fo pBAOlm flre <br />rk whlM ouvlipeha� is maou xnd I rornnN ���rth I�o Stote ConNaclors La.v 18 27 RCVI' nnd <br />FcE <br />C�� i,-I I - U`�iy <br />