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02/�6/a013 wao 10: D6 eax 7707725502 Rogere electric �006/013 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9�201 <br /> 425-257-8810 - �fU(425-257-8857—www.everettwa.org � � `�_ I 3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C13b�-"��-I <br /> ��— �b A �'V �1� <br /> PROJECTADDRESS S Ye"t* 3J)�J <br /> Zol��a� 8 <br /> S�b�. '�- 7�a.1� •5 �San�;ll.� c,��.�� ►3y � 6-� <br /> Owner MWIAddrooa Gry Slatoltlp Phono <br /> Tanpnt MellAddreaa ���Y 5�«P P�1°� <br /> � �� ►� t2nc�s�,12�;cn�(';o�rac rs ��5n INaYI�i_ .�Y s+e. 7lb �f1 . <br /> Eloctrlcal C�Irector Mell AdNaas Gly Si 1e21p Phone <br /> �t�U-7'72-79Sq <br /> ��� � IA)V.w�AhlOr� ' F�S� � Do <br /> �ate Licensa Numbar nContmct Pdce of Wark <br /> UtM. l ' Y '�i ,�10�� <br /> Prop ed Uso ot Bullding Camnct Person (Plon Review) <br /> Squoro Foolage(Ilresldenlial now conalruclion,ramodel or addilian) <br /> Oesaiplion o/Wark to Be Dune: ��,1���, 17 V )� l.�r� l� ZY ` "' `� r� <br /> NOTE: WIRING IN NON-DWELLIN6S IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. � ��.oU <br /> CIiY OF EVERETT LOCAL 3ALE3 TAX CODE 18 3106 <br /> 1 Han6y canify fhei I hp��y mnd a0d examined fhis appliCafion anU know Ihe same(o be hue&nd _ O j ,,{_ <br /> mnect. All p!ovisrvns of laws and oNrnnncos govoming fhis fypo of work wlil be complotod C � 3(�� T <br /> whoU�or spoc�Ifnd horoin o�noL Tho granfing of a peamf does nof reSUme fo giw eufhorily to <br /> violateorcanc�llha rovisionsolanyolhorstylowlorollowroguPhngconaWeUonorfho <br /> poAormanr.n ol confiPnir.tinn. That I am outhonred 6y the ownero7fhis property to perlcum the <br /> N+oik lor which pplication is metla and I compty wilh fhe Sfate Confrsc(ors Law 18.27 RCW and <br /> 2BQ.200 W.1 . <br /> . <br /> 31gne1 DatN <br />