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Oct 12 04 10: 46a P. 1 <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8010 - FAX 425257-8857—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBR 8 CREDIT CARDS ARE NOT ACCEPTED <br /> _ .�l13 [�Ehv.Me,�,� n�t _ <br /> PROJECT ADDRESS <br /> ' �/11 <br /> ?S� <br /> ,I�/�c �7'1G�,�4IeT' S//3 _l3Eh�,wNT p2 �'v u�.r � <br /> Owner Mail Addrefa Ciry . 31auZp Phons <br /> Tenent Mail Addrcsa GN &tate/7JP Phons <br /> f�Yc.Etiv,�ti sr1 3 a r ����c�� � EI[�- wa 9Y��i <br /> Eledrical Contractor MaA qtldnss Cly SmWLp phon� <br /> FY�aasriys �r <br /> Statq Licenae Number Contrect Pdce of Work <br /> S FH. <br /> Propoaed Uae of Buildinp Contact peraon (Plan Revisw) <br /> Descriptlon of Work to Be Done: �Jlf/St/.UA-f t�iE/(r L/ i� �j <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> 3s'"— <br /> CITY OF EVERETT LOCAL SALES TAX.CODE!S 31Q5 � <br /> 1 hereby ceNy thaf!heve read and examined thls applicatbn and know the same ta be bue and <br /> carrect. Ap provislons allewa end ordmances poveming Ihis type o1 work will be completed <br /> whefher specified hereln or not. fie granGng a1 a parmil does nofp resume fo plve euthorrry to <br /> NWare or cancel the provlsions a1 any other srate alocellaw repuletinp consbuctlon or the <br /> wo�k�a whl eh ep lic t%on�ls�mede end 1 complyBivdRhyfhe Slef e Conf��do�pLaw 18 T RCW�end <br /> 296.200 WAC <br /> � �� /� <br /> Sipn�mro ate <br /> �O`IICJ'0�#�I <br />