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o; zs,2oia o;::;o rax a2r, a�; ts�s kbx et_rc'rHtc Ploo� <br />• • <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42�257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATION5 ARE ACCEPTED FROM 8 A1M TO 4 PM <br />� 9QS �Jraa�✓wa.y <br />PROJECTADDRESS <br />C•��T17 <br />,enant <br />aoarers <br />Ma0 Addmu <br />���c ���c�r►•� �utz ie+�T,� <br />EledntalContrador MaXAGtlreu <br />���•eS �6��� <br />State Ucense Numbar <br />�i � <br />Proposed Use o Buildin� <br />City <br />suwz+P <br />SlateZp <br />Phone <br />P�one <br />��7 Slaie2p P�One <br />� 17Q0 ° tl <br />Contrad Pnoe ot Work <br />ConWd Person (plan Rewew) <br />of Wark to Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL gqLEB TNC CODE IS J106 <br />I hemAy cerfrly fhat I have read end ea�em/nod this epplicepon nnd know Ure same fo be frue and <br />correcL All prov/slons ollaws and ortlinances govemmg th�s type ol work wlll be completed <br />whelher spri�etl herein ornoL Tlre grnnt/ng o! a permd does nof resume lo qrw eufhorrty ro <br />vio�afe or canoe/ ihe p�ovisions olany ofher slefe or local lew reguPhng conshucG�on or Iho <br />pertomranr,o o! const�uction. Thaf J em aufhaized Gy the owner ol this proparty to porlorm the <br />work Io� w-hich eppllcafion /s made and I mmply wlfh !ho Sfefp ConVacYors Law 78.27 RCW and <br />296.700 WAC. <br />FEE ��`�.sv <br />� I �0�7 — (! co <br />