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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 a�-aI�-I�- <br /> a25-257-8870 - FAX425-257-8857-www.everettwa.org ��/Ov <br /> �I� <br /> APPUCATIONS ARE ACCEPTED FROM!AM TO 4 PM <br /> 900 Paci(ic A•re-Pavilion—013GYN <br /> PROJECT ADDRESS <br /> PHMC 1700131hSMmt E:�crctt WA, 98201 <br /> ONmer MailAddiesa Ciry State2ip ��e <br /> Samc - <br /> Tenem Mail Address �itN StatefZq ��e <br /> Prcfermd Blectric 13ox 77120 SeatUe WA.98177 206.499.6691 <br /> Eledlical CoMtador Mail AOdreas C�Y 5��� ��° <br /> PREFEE1929PL `�,�0�� <br /> Stete License Number �t�P^0B°�WO� <br /> l linic )ef(Olxn-206A99.6G91 <br /> Proposed Use ol8uilding Confact Pe�son (Plen Review) <br /> Descriptbn of Wak to Be Done: ��d Duplex Rettptacle and Dala Ring&SMing.Receptade to Ue extended from nearesl <br /> Normal Power Receptade.Kemptade and HGMC to lx flush mo�mted and fished accordingly. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS,MC OR AC CABLE. S1G2.50 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IE�105 I_ � �O� _ 1 � .1 <br /> 1 here6y cerfily fhaf I have read aM examined fMs applicefbn end know Me seme ro be true and �— lJ <br /> cortnct. All provisions o/laws end wd'mances goveming fhis fype o/�dlr will be complefed <br /> wl�ether speafied fierein or not. The granNng ol a pemM does nofprusurne to gM1e eutlarr'ly ro <br /> violate or cancel fhe provisions ol any otfrer state or local law repuleNnp oonsAuiion oi the <br /> perlormance o/conshu ' . 7i�at I am aufhaizad 6y Nie owner d thispope rty to perfam the <br /> work lor whkh applicaf made and 1 compfy wXh tlie SYete Corrhac(as Law 1827 RCW and <br /> 296.200 WAC. � <br /> y LI IL � <br /> s�,�� o� C <br /> �� <br /> , <br />