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p. 1 <br /> � <br /> ELECTRICAL PERMIT APPLIGATION <br /> CITY OF EVERETT PERMIT SERVlCES <br /> 3200 CEDAR STREET, EVERE7T, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -Dl'BR b CREDIT CARDS ARtl NOT ACCEPTED <br /> 30.ZZ� L�/LO.'�-U W r1.Y <br /> PRWECT AODRESS �f j.S <br /> ��� <br /> A1o1uS.4.u�k- �.L C. 3 a�� 13no�[c�}„(' E(��E.1l,5'.?' 6v.� ��.�mr 53�'P <br /> Owner Moil Aaar�u Ctd StatdLp Pnon� <br /> � <br /> i . J ,/ � <br /> O�C' (� � ,1 4'�� —� -- <br /> T�nant Mell�.ddreee , qy SbWZ!p ��SPhone <br /> �c�r.,uv�. sF< ���ot Q�e�ww� ,�'ii��Ki/'_' w,� �i �r <br /> EiecalwlConvactor n!.uqdaru� Gy sa�s2to Pnor,. <br /> or <br /> EYl-1�i�SS/�iz Lri' (,omd <br /> Slete Ucense Numb�r CoMnct Priu d Work <br /> s,��v«� �n��ou ���-��r <br /> Propo��d Us•of 8ulldlnp Contact Pereon (Pl�n R�vi�w) <br /> � h�� . <br /> Deewiption of Work to Be Don�: _ `l GDk' ' [1/° �v ��� fe�1T�/l� �j vJ{�0(� <br /> NO7E: WIRING IN NON•DWELLINGS IS REOUIRED TO � I <br /> BE IN RqCEWAYS, MC ORAC CABLE. , `� a� <br /> r <br /> GITY OF EVERETT LOCAL SALE4 7AX COD�191105 <br /> !hereby cerNy thu J haw n�d�nd�x�mfn�d thls eopllwtlon entl know the same to De We end <br /> corr�ct AI!provlslons ollawa�nd ora'lnences povemlrtC Nls ryp�ol work w@ 4�compubd <br /> w�e7he�,tpeaN�d hsnln ornot ThB prEnqrg ol�p�rm71 do15 nOtp nCume f0 plve authar�lo � <br /> Wo7ateorcroc�lN�ArovlaloceofanyoNerstenorlordlew ul�8npconstruCtlon000���N� <br /> parlorm�ncs o cansin/c71on. 7hsU Qm�uthoen;tl0y ih�own�of thl�propeKy to perfpr1n ths <br /> woNr kr wAleh epplication ia .neoe end 1 comp/y w/N!h�Sut� ConVacloiS Liw 78.�7l,iCW�nd <br /> 256.200 WAC, � <br /> �f/� ���/�- <br /> --� Ipnimre o■ <br /> JLc� > <br />