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O:t. B. 2UU9 1:,pPld� EXFkESS EIECTR:C <br />!Jo. i171 F. 2 <br />EL�CTRICAL PERMIT APPLICATION <br />CITY OF EV�RETT PERMIT SERVICES <br />3200 CEDAR STRGGT, EVERETT, WA 98701 <br />425•257-8810 - FAX 47_5•257-8857 — www.e�•erettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />..� � 01 I� P�O,t�ll- tnlA�vl �%J��YL� l/1/�}- �1�311 � <br />PROJECTADDR[SS <br />sr� o c W�- bCPr D� C� � N etZ�L �D h-t i N cs-►-�2_flfil o r� <br />���'�. ��oo T rAr���s�r �/��Z�-rc �nl� <br />Owner MaiiAtldress Ciry StelelZip Pnone <br />Tenan� <br />L-lectneal Coniractor Ma�i aadross <br />CxP2.�� Tncns�� <br />State Lloense Number <br />f�lucaii'o n � <br />Proposed Uso of �uldi g <br />City <br />Ciry <br />Stata2ip <br />Stale2ip <br />�S,Soo, � <br />Contract Pnce of Work <br />Vhonc <br />s��) <br />i�noix <br />��a� ua,. _�� <br />Contact Pcrson (Plan Revie <br />(31�o)fo��-o113 X IZz <br />Uesc�iplionoilNo�ktoOeDone: �I'OV/Y�P 3 ��/15�'�.7 �i frf.ns-�ri+-ier efnL� <br />diiLi�n n � r'�- t�n r t� o riv h � P �'� oL.l o/^ V I� �'t� . <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RAC[WAYS, MC OR AC CABLE. <br />CITY OF EVGRETT LOCAL SALES TAX CODE IS 3105 {� /� <br />I huroGy certiJy IAa( I have read and camninud (his applicati�m anJ kno�v the s�rne !u Ge tnie and �iO� � v'�� J <br />cormcL A!l provisions oRaws and oniinances coveming fhis type ol �rork �vill be complotod <br />whefl�er specificd hemin or noL The gronhnp o(a permd does not pros« mo fo yrvc authonry ta <br />ivork for <br />29G.200 <br />made <br />l� � <br />and <br />