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�1 <br />u <br />� <br />ELECTRICAL PERMIT APPI�ICATtON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42&257-8810 - FF�X 425-257-8857 —www.everettwa.org <br />APPLICATIONS ARE pCCEP7ED FROM 8 AM TO 1 PM <br />tii� ,<. <<,������ �z�) .;-✓�:���,N,���, �aKzv� <br />PROJECT ADDRESS q j c <br />�-1��'�1�4�, ("Yl;�ii ,l i�y��14' .���'�i,l��`i �iC /!-�(�1����-�cC.�7`� �c�(I��'1.-�]."_�i. <br />o � l � <br />�-c� L1,��4urG,� ��_>'� �iit G-•� �� <br />owner M�APEErou cmj sae.rzro rhone <br />Tanent <br />� <br />�_1 <br />Ekcineal ConUactor <br />StaOe Ucanse Numwr <br />Meil Addiass <br />MaeAdaiasz <br />� <br />' � L . � � " ` �� � <br />Proposed Use of Builu�rp <br />cM <br />C1y <br />Sbte/Iip <br />St.tb2lp <br />ConCnct P�fce of Nbrk <br />CoMaG Peroon (Plun ReHew) <br />� �? 7 � ' - <br />Deaaip6on d VWrl b Be Dorro. -�p-Z-% SCi� ./ �i 1 t%_� ...-1 �•. c� , i�`!Y`•L^ �� ( w� .� <br />� <br />�1 ' (�"t L � �(' i j_ y ���^1i)��L ��.4� .+ <br />N07F WIRING IN NON-DWFI UNGS IS RF�UIRCD TO <br />BE IN RACEWAYS, MC OR AC CABLE <br />CITY OF EVERETT LOCAL SALES iAX CODE IS J10D <br />I hnmby cortrty fhef I Aeve rend nnd exonrtnad this eppl�cohon ertd Imaw fha seme to be tnre end <br />co�recf All piovisrons ollaws end ordinences govemrng fhrs type o! woAr v�N be complated <br />whethor spncd�od hoiour or nof Tho aanfmp ol a pemv! daom nof pvewme fo pva eufhaify fo <br />valele or cencel fhepo nmons ol eny othe� sfete or locel �ew ragulehng mnstrucfron or fhe <br />perfo�mence o/ construc6on Th�t I em euthanzed by fhe owner ol this ryvps�ty fo peAomr the <br />wo�k /m whrch npplrceGon is meAe end 1 canp7y �.+Ih fhe 5(efe Con6ec(ors Cew 18 27 RCW end <br />296?JO WAC. <br />� .� <br />< .. ` C� \ / \ .) � � <br />��� ��_�i C �� ,�� <br />Sgneturc � Dalo <br />FEt <br />Phane <br />RqM <br />