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( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 � `�,-09 <br /> 425-257-8810 - FAX 425-257-8857-www.everetlwa.org <br /> N090/-DO/ <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> i00�� 1n�G'�� ('P>iNo 1�opo '�l�-�I (�..ot. <br /> PROJECTADDRESS <br /> � ., <br /> INc I�o��•.r: Ca, � �7� �101 jC-n-iTiti �r1� `i 2�12�i -'�'ol <br /> Owner MaII Mdrees Cly StalelLp PMne <br /> � � /� � <br /> IIJf. ��L1iI^��+ L��' <br /> Tonent Mell Addrasa ciry sta�e2ip Prwne <br /> �-o�� ��O�s�nio� Clt�—'T���— L�-IO:J N4.] 30:���, #�� j�A1"i� � W^• �811� ZLx•9�7-61 � <br /> Elacldcal CoNractor Meil Adtlrese CIIy SlatelZlp Phona <br /> � '� <br /> FoY1�+LCo���C11 l��Q� <br /> :,tete Llcen�e Number Contrect Pr of Woik <br /> Proposed Use of Building Contad Pereon (Plen Review) <br /> "� <br /> Dsscription ol Work lo Be Done: ��-��\�Z-t�'� I�O r^�CM� L C-'' C� L I Pf <br /> �-' Yfi _ ��cL'-j_ <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS�105 <br /> 1 heroby certity fhaf 1 have ieed and examined Mls epplicotion and know the same to be fruo and <br /> corrocL All praviaons o/lnws and ordinanws govomrng this type of work will be compleled <br /> whe!hor spacilied haroin or noG Tho granting ol o permd does notp resume to give aufhonty fo <br /> violafo or cancol tlre prowsions ol any other sfafe or local law rogu/atmg construcflon or the <br /> performance o/construcfion. Thaf 1 nm authonzod by fhe ownrro/fhisp roperty to pedorm fhe <br /> work/or which application:s ado and 1 comply with fhe Stafe Controctors Lew iB.27 RCW end <br /> 296.200 WAC. <br /> i / <br /> _��� r/:�/�-� <br /> � natpM-- ale <br /> ' � �v`'lo� W� <br />