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p1963 P. 001/002 <br /> U2;2Ui2�13 03 26 <br /> I <br /> ELECTRICAL PERMIT APP�I�ATION 1 <br /> CITY OF EVERETT PERMIT SER � _a„i_�3 <br /> 3200 CE�AR STREET, EVERETT, WA 9820� � � 2 _�a,7 <br /> 425-257-8810 - FAX 425-257-8857-www•everes[wa.orq C 3 <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> � �3 � i4/c{'-�r- �'�" I <br /> PROJECT ADORESS <br /> /� �-u��Gr� ��.? �.- S/`"�� �/ zo3 yzs;2.s�8' /3S <br /> O �ity . . SUte/ZiP Phone <br /> Owne� Mail Address � � <br /> CitY St9telZip Phane <br /> Tenant Mali AddreSs . . , . <br /> �YlGtn�tv y2J��27�7 ' �f <br /> Sh./1 ��'�/r� 36'O/ � /�+^�— �98Zv / ano�� <br /> Eleet ical Contraaor Maii ntltlJess • GU' <br /> �v�"i �Js�y�f Contrac Pr�o W rk <br /> Sta1e Lieanse Number <br /> Proposed Use�Buiiding Contaet Person (Plan Review) <br /> �esaiption o`Work to Be Done: �s� <br /> `a�C ��3' 7'��ir•�R c L <br /> NOTk: WIRING IN NON-DWELLINGS{S REQUIREDTO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> ��;.C�L� <br /> IqTY OF EVERETT LOCAL SALBS TAl(CODE IS 3105. <br /> 1 hereby certify ihat 1 have read and e:amined thls applieatlen end know Ma seme to be hue-and /1 -1 <br /> correct All provisions ot lews antl ordlnances goverr„ng this type ol work wlll be Completed C � �v�� - � �T� <br /> whether specliled Aere7n or not. 7he granGng o/a permrt does not resume!o give authonty fo <br /> violate o�eencel the��ovisions o/any other sfate or local law reguPafing construcGai or me <br /> peAormanee ot construdion. That!am aulAorizad by the owner olthis proprrty to peAorm fhe <br /> work�or w�ieh applwation is matle antl 1 oomply wtth the Stafe Contractas Law 78.27 RCW and <br /> � 296.200 WAC. � <br /> I G� i��///� ,Z - z o-- /3 <br /> ignamre. Pate <br /> . I <br /> ,.ar' -- -�--- _._ <br />