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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.orp <br /> APPLICATIONB ARE ACCEPTEO FROM E AM TO 4 PM <br /> L/i �) ' � <br /> � � � , � <br /> �a'� '� ! .. , t ( ��:=, ,.� h , l <br /> PROJECTADDRESS <br /> y ?� — i3/ - � 7ij <br /> � . � <br />� r� . � � � 11' ir 'i > > i L� ✓iA�l � � . _ (I C�-/� ����'� <br /> Owner M�N Atldrou Cfty suu2q � <br /> � <br /> 1'�� „�, ,,, (_ <br /> Te�enl � � 1Mn AEArou cny sw.2ro .�i L 7d -i �'on J�. <br /> , <br /> '�'J i I J� ( �' Jh �5`� ✓( �,.r,� � � �ru ).k'nl�, i �� �� %Si�/� — <br /> ElecMcal CoNrector Addnu CNy St�U p ��� <br /> �' <br /> >��. � i i �� _i� � i�_'� �; /3� C - <br /> Stete License Number Contnd Price of Work <br /> Proposed Uee of Buildmp Lontact Person (Plan Review) <br /> i <br /> Descnption ol Work to Be Done�. l. 'i �" r � ' �� r , r �[' -.:/�' / � (' l i , << � l-� <br /> ✓ <br /> �� /�� � �. ( � i � �i-� ( •/ ' ! -1� <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO fEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL BALES TA%CODE IS J106 <br /> 1 hereby certAy thet 1 heve roed end exemined this epplicafion end know the seme to be fnre and <br /> correct AI!provisions o/lews end ordmences povemrnp this fype oI work will be completed <br /> whefher apeafied heroin or nuL The prentmp ol e permrt does nof preaume fo pive�uthodty fo <br /> vrolefe or cencel the provisions o/eny other stete or locel lew repuletinp construcfion or the <br /> performence ol construchon. Thet 1 em authonzed by the owner o/fhis roperty fo perform the <br /> work(or which epplicefron Is mede end 1 compty with the Sfefe ConfrecPrs Lew 78.P7 RCW�nd ' D�� <br /> 296 200 WAC. <br /> / � <br /> _.ii. .i�/ '� �-i % :v'. . l• - '1- �� I L l o� <br /> S elure ete <br />