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•y 11 � <br /> I.�,. 24. i�ii 2� 17= � �o�• d ;e:urity fn : ';�.. '��' ,%_ � 1 <br /> i <br /> ELECTRICAL PERMIT APPLICATION ; <br /> C17Y OF EVERETT PERM17 SERVICES <br /> 32G0 CEDAR 5 i REET, EVERETT, WA 98201 � <br /> 425-257-8Z10 - FAX425-257-8657-vn+rw.everettwa.crg <br /> APPLICATIONS AR[ACCEPTED FROM 8 AM 70 4 PM <br /> i I <br /> �Q I <br /> PROJ[CT ADDR[SS ' <br /> i <br /> i O::ner �AailAddrees C�ry 5'a:e/i'�p �� � F�ena <br /> I �Q�e ��iZe ��(-e�rV� �( —5( � <br /> Ten2nt �1dIIAQ4rB55 Ci;y S:e10�Zip �hone <br /> � o��ro � �ic.. �� 1 �A�.�rn `u�. �P�P ��- 1�}{4 �iK�ol �a -����55 '� <br /> Eleclri�al Conlractor fdail Address Ciry State/Zip F�cna � <br /> ,S�-s�z i F ����D7 � I �g� i <br /> ISta�e License �Jumber ConVact Pr�e of vVo k <br /> c2�et�� �k�en 51�-c�°� � <br /> Propos d Use of Ouiltling � Contact Person (Plan Revi:w) <br /> Descnplion of Work to Be Oone: ��,� Y l.� I�C.� O"�-�✓w �'�� �`f �� l/ "� <br /> i <br /> �Jccn�ra l _ d� �c,e�'s� I <br /> � <br /> NOTE: WIRING IPJ NON•UWEILINGS IS kEQUIRED TO �E= I <br /> E3E IN RACEWAYS, A1C OR AC CABLE. �O� <br /> CITY Of°EVEREI i LOCAL SALES 7 AX CODE IS 3105 <br /> !hereby corti(y fhaf 1 havc med and exammed fhls eppt�cat�en end kno�v the samu to be true and � � � Q �— I 5� <br /> eonrecG AHprovislons o�laws aqd ordinances govemrnr�(h,is type o/nork will ba complofAd <br /> w•hether�peafieAhoroin or not. The grontmg o!a pertn�t does not presume to grvo authonty tu <br /> vie�ateorcanc�/fha provisionso(anyofherstateorlocal/ewregulefingcenstrvc6onorfhe <br /> performanr,e e!ccnstruction Thet 1 am auf:-�nzeAby the owner o/th�s property(o perform}he <br /> �ryk)or n-hlch applicntion is mode and 1 comp/y w�th tho Ste[e Con[racfors Law 98,27 RCW and <br /> 295,2 WAC. <br /> l�' �� . <br /> .ignavre ^ „_ , Pa'e - <br /> n _ . <br /> � . .r---��' . _ , , <br /> � C'� r ' , t�r . � • ' <br /> — , ,, <br /> --�—�`�i��" —• __------ � ' _1 <br /> U <br />