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ELECTRtCAL P�RMIT APPLICATION <br /> CITY �F E1/ERETT pERMI�' S�C�ViCES <br /> 3200 CEpAR STREET, EVER�TT, WA 9$20'f <br /> 425�2�7-889 p - F,4�(425-257-8857--www_everetEwa.org <br /> APPLICATIONS ARE ACC�PTEq FROM $AM TO�4 PM <br /> �2� ���'1 ,�,,,_,►- ���� ,. , <br /> PROJECT ADDRESS <br /> �2��� � � L . � 2S��S -2 0 <br /> �w11@r Mail Address Clry State/ZiP Phor�e <br /> V <br /> �enant fvtsil Aa �ss <br /> C;tY 5fatelZiD Phone <br /> � - �7ertr�r� ����,i.1�.���.r�r���<<� ) �o�Z o�3��( <br /> Electrtca!Cont�acior Mail Addr�ss C�Y S�e2�p pnone <br /> _-��.CC i���g �l1 S ` <br /> Sta#e Uoense Number �� Contr�ct rice of WQrk <br /> 1l� ►,c� r�Si � n_�, c�l ('� �,�i'� <br /> ProposeA Use of Building Cor�tad Perso (P1an Review) <br /> 22 5 <br /> Square Footage(if residential n8w cor�g��on,�8��g�or addition) <br /> D�saipiton of Work to Be Done: u <br /> NOTE: WIRlNG fN N�N-DWELLfNGS IS�t�QUlF��p TO FE� <br /> B� IN RACEWAYS, MC OR AC CABL�. <br /> CIl'Y p�E1/ERE'R LOCAL$pt�3 7Aa(COL}E!S 370b <br /> 1 her�by ce�tify tirat l heve read�nd axaminea tnis appl/c8(ion and know th�sarne ro be true and <br /> �orr9cf. Al/provisions of laws and ob�nanc8s govemir►�fhlS type of wp�wil!b$campleted <br /> uvhether specil"red herefn or nQc The granting of a perrn7t pp@s notP�,,,,�rQ 9N��„�,�;ry to ,� l Z�� �(J� <br /> vialate or c8hcel the rpvisions of 8ny other State or/oca/!aw�yu a6ng cvnstruclro�or the <br /> waic for w�applrC�Ora�'s mader end l�prltp/y withy�e Statg�Conba$dDrsr�18.��CR Wtand <br /> 296.200 WAC. <br /> rgnatur� Date <br />