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� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES yJ <br /> 3200 CEDAR STREET, EVERETT, WA 98201 c`7/ ��/I/ <br /> 425-257-8816 - FAX425-257-8857—www.everettwa.org �"/�b5�l�y <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> , � n �� ��j/�fJ�j <br /> �) � �. � � .., ,-,n 1.. ��.-:� ����^.�. �.I <br /> PROJECT ADDRESS <br /> � � � �1.�-� >53.5 � �_ � <br /> Owne� Mall Address Clly Slate/Lp Phone <br /> Tenenl Mall Addresn Clly SlalelLlp Phone <br /> 9 "� f'�, -� ,-� `J OL' �Q <br /> � '�� ,� // � <br /> �'�� JslJ� ` , ti r._ � � 57 � `��,I('� �Ce^ t,.-. -,i � Yi1�rw.�e �lL, �� O"i � <br /> Electrlcal Conlrector Mal Addresa c.�ty lete2ip Phone <br /> `��1/-�.1;►: �_ � `�<> � >.� � C� o�� <br /> Slate License Number Contracl Prlce of WorY, <br /> Proposod Use of Bullding Conlacl Person (Plan Revlew) <br /> / / /� �7' <br /> Descr(ptlon of Work lo Bo Dono: �- X I �'i '�' �� �� < <-'i "i_ 1 n� !. � <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CI7Y OF EVERETT LOCAL SAIES TAl(CODE 13 3105 , <br /> 1 fieroby coriily thof 1 hevo reod and examined flils epplicnNon end know fhe same fo 6e frue end U( �� ��' <br /> correct. All provlslons ollaws end ordinances goveming fhls rype ol work wlll be completed <br /> whether spaclfied herein or noL The grentlng o/a pomuf does nof presume to plve aufhonty fo <br /> vlolafoorcancelffie provfslonsolanyotherstafoorlxallawregula!Ingconshucflonorfhe <br /> perlomiance o/conslrucflon. Thet 1 em aufhortzed by the owrte^o/fhis property fo peAomt fhe <br /> work lor whlcli appNceflon/s made and 1 camply wlfl�fhe Sfate..onhac(ors Lew /8.27 RCW and <br /> 296.200 WAC. <br /> � <br /> ��:�=�,� � l� - �i <br /> s qn wre'�`r'� oe�e <br /> � -- — <br />