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VOIVa/ [VYtl i•Ue lUtUO YAx !bU tlU� ULtl/ MILN6 6LECTRIC �003/005 <br /> C � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �o/o9I�� <br /> 425-257-8fl10 - FAX 425•257•8857-www.everetlwa.org r Og�b`�� <br /> C <br /> APPLICATIONS ARE ACC[PTED FROM e AM TO 4 PM <br /> ,� ��5 _2a1 <br /> .��>i� ; l.J c�A S /lyCi /'� /�/�E;��7Z1 NG �YN cl�lrtc la��{ <br /> PROJECTAODRESS <br /> 7//C i:3 �>�/iv�> ��� 3U�'� L�_L'45��n ���.n F c2Frr 4�/A 9h;�o�l <br /> Owner -�__—'- Mell Addrna Ciry SlelolZip Phan� <br /> Tenent Msil{idr�o Gty 91�Ie21p Phono <br /> ��./' /.�. ._ Y' /r � (.. _)/r (:'! 1. �� � r <br /> � ////��F-� /r-• r'7X�/( `L ti'i / �✓- / y " � / 1'OiVk'C�:_ , / <br /> Eledricol Conlrartor .� �� � .�ai Addros Ciry SUtNZip Phon� <br /> �� �:; ,_�� , � . �, t:, ; . ���. � =�- g� <br /> /V�I- ltilL�t.:.l i C����/✓ 'r �D �'3�"5 �.t.� <br /> State Licenee Number � ConVacl Pdce of Worh <br /> �`i�/'�'/V�;i%/•�(%,l.�K�/;'��� — <br /> Proposod Use ol8uilding Conlact Person (Plan Revfew) <br /> Dascriplian ol Work to Be Done: � 1, 'Y T �� L <br /> �lf/!i S '�N/� f f�r'<�' i�r//' �/ i`i� �c" iti'rr:� %Ci L i���lC�Ib'�' <br /> �= C.� l.�i r'�"��N 7' <br /> NOTE' WIRING IN NON•DW[LIINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. I <br /> CITY OF EVERETT LOCAL 9ALE8 TAX CODE IS 7106 �� _Q� $ <br /> 1 here6y cartily fhef 1 heve roed and exemined fhls epplicefion end know Ihs seme to 6e Irve end <br /> conetf. All provlsions ollews end ordinentes govuming fhis type ul work wdl6e complefed <br /> whofharspeaGed herain or noL The pranfinp ol a permd does nof rosume fo p'rvs eu(hodty fo <br /> violafe or cencel fha provisrons ol eny ofher sfefe oi locel lew repuPflnp tonsfrucbon or Ihs <br /> performence o/rnnsfrucfion. Thet I am eufhodzed by fhe owner of fhls propsAy fo pedorm Ihe <br /> work lo�which epplicefion is m�de end I comply wifh fhs Shfs Conb�cfors L�w 18.Y7 RCW�nd <br /> 296 200 WAC <br /> i � �/ :' �,^ ; . <br /> i <br /> —./�� ,i'_��c�-'-� !, . � �/_L•l.u. <br /> �pnelw� � <br />