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I <br /> ELECTRICAL PERMIT APPLICA p �r��/ D <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 SEP 2 6 2011 <br /> 425-257-8810 - FAX 125-257-8857-www.everetlwe.org <br /> APPLICATION8 ARE ACCEPIED FROM!AM TO 4 PM P lJ BLI C W O KS <br /> , �1 <br /> °� a>�r� <br /> f"-� ,o ✓� N �i USG � Fe��IvqQ "' �J�-�-- �, ��' l I ��o�'-i67 <br /> PROJECT ADDRE88 <br /> I�D,.UI 0 GU'��rr�n.t-- Cc�Cad.�C� .�-�'1 <br /> Owne� f Yli'111.. � IS(J� ire�e /��1�- I.����.t.l� '7 Slele/Zip '��)I� P�one <br /> �,��L� I"JUX L 1L <br /> �l.,,.��T��.-�a �c� � � h.e � n <br /> TenBnt Mdl Mdrest Cily Stete/ZIp Ph� <br /> Ebdricel Conirodor Mell Aedree� Clty S�p P�O�° <br /> r � � 15�' <br /> Stnte L cenae Number Controd Prfce ofwC� 4��\� <br /> .0 CJ <br /> � <br /> �• (�(Y1 � ln'd�7 7 7�' <br /> Propoaed Uae ol Buflding Conled Person (Plan Review) <br /> Deecription ot Work to Be Done�. lJ��' `a I�IN C � K A L�-� Q L�U=� "'� �o---- �� <br /> i �.� -� �. ,. � 1(`��- � � r�r�-e.�n,�,+-�o� r�c�u �P� <br /> � �i vri o h <br /> � � <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO �E <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALEB TAIf CODE 18�106 <br /> 1 here6y certily fhef 1 haoe reed end exemined this epplicetion end know fhe same to be true and <br /> correct All provisions o!lews end adinances poveming fhis type ol work wUl be oompleted ,�Il��— I�� <br /> whefher apecfied herein or nof. The pranhig ol e permit daes nof presume�o pive e�thaiA'to <br /> vrolafe or cancel the prohsions ol eny other sfate a bcal lew repulafing construction or fhe <br /> perlormencg ol conslruciron. Tliaf I am eufhonted.6y Ihe owne�o�this p�operty fo perform fhe <br /> work/or whkh epplkatlon is made and 1 compty wrth fhe Stefe Conhadors Lew 1B 27 RCW and <br /> 286.200 WAC. <br /> �,►'�e�1.� o���u� <br /> --�qneture te <br /> �C3 (��j� •�CU.� I <br /> ���I�� �, l`k1.v�sA�nu iemenf-, Cvm <br />