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NOV-02-201 l WED 08�29 AM Pr i m{ 'ec l r i c FAX N0, 42E� '5552 P� �� <br /> E�ECTRICAL�PERMIT APPLICATION <br /> CITY OF EVERE77 PERMI7 SERVICES ���// <br /> 3200 CEDAR STREET, EVERET7,WA 98201 <br /> A25-257-8810 - FAX 425-257-8867-www.evefettwe.org �/I(/�a 0 <br /> qpp�.�CATION3 ARE ACCEPTED FR�O 8 AM TO 4 PM <br /> �✓eR��i�N?,����t�N� ��I�� <br /> 300� ��� ��/���.,�-v��� ���!� <br /> PROJECT ADDRESS u/J�� <br /> � <br /> '� ��do= �/�� � fs.�d,ee � l� ' �99��' � <br /> Umar MallAdam� Ciry � 8 NZin Pho� <br /> �� �� �� �/ � <br /> Tenent Mell Addre�� Clry St�l�7Lp Phone. <br /> � I <br /> G <br /> ElecfrloalCantmctnr MellAtldres� CRy � Sut�2ip Phone <br /> L /�. /�/� / � <br /> Sta e Licanse Npmbar Contr Pd o Work � <br /> Proposa se ot B ild np , ��/�ontact_Paroon_(Plan �Wew�� <br /> 16- �l� �'P -f <br /> DescApUon of Work o 6e Done: � ' ►"0 Q <br /> e <br /> � � � � <br /> NOTE: WIRINO IN NON-DWC-LLING515 RE�UIRED TO FEE <br /> 6E IN RACEWAY6, MC OR AC CABLE. <br /> cI7Y OF EVERETT LOCAL BALE9 TA%COD813�106 <br /> !hereby ceHiry thal 1 have reed and exemined fhla epplicetfon end know fhe semr fo Oy fruy and <br /> coneet. All prov/slons ollawa and ordlne�as aovolnlnq th(s typa ol work wlll b�oomplefetl <br /> whgther specll(ed Aere/n or not The prenUng oI a perm7f does no�piesume to gIro nufhorlry to I <br /> vlolete o�cencal fhe prov slony o/eny otherstate or locallaw re8ulnting conctrOclfon o[the D <br /> peAormancoolcon8frucf�o�. Thetl6maufhoA:ed fheowneiolthlspropeRvtoparlormfhe � . <br /> Work lorwhloh eppllcatfonle de nd I mp�yWr tho Stafo Contracfon La�4 78.27 RCW antl � f�i <br /> 29'1.200 WAC � , � <br /> S On.tur � � ° . /f <br /> //�L� � �f <br /> � <br />