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O5/12!2011 ]0::6 1'A% 425 3ii 1978 RIiR Ii1.IsCTRIC Qi.J007 <br /> d <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY c�F EVERETT PERMIT SERVICES <br /> 320Q CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257•8857-www.everettwa.org <br /> APPLJCATIONS ARE ACCEP7E0 FROM 8 AM TO 4 PM S"I 2` I I <br /> Liros_os� <br /> .��3a �/6� .a�� <br /> PROJECTADDRES3 <br /> �ie+-a,!�F��ra,:�r�iL/��i�,�;� 353� �lb�fAv�°��.r�F �ZJ� � 259 � <br /> Mall Aqdiess � <br /> �nY StafalZip Phorw <br /> Tenanl MMqECiesy CI�, SytypP Phone <br /> `�j�>c Ele�� c., i i i�z ��TK�r�� ��frp�P,�,n,,� �SS yZK �fu-�7y <br /> UecYnCe�Cpntrafxor MaYAtlAies� Ci1y Slalp/Zlp Phaie <br /> �E�E�ES �'l6Z�tis/ � �' 15 <br /> Stale Ucenee Numbar Conira Price of Work + <br /> , � �,�� <br /> PropOsed UeC of OWMmg CoMact Porson (Ptan Revievh <br /> oeacnplia,or work�o se oune: 'TIZ—`�Q� G f�T�n.�i►7� �G� 2���f' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �{E <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALE$7AX CGDE IS J706 <br /> !herebY cortify thef l have�ad and exem;hed Ihis applicafion and knoK•the sa��rre fo be lrue end �f <br /> co�recf. All provlsions oflaws and orc/m�nces goveminq fhis type o7 woAr wr�l bo cnmpJet� �I� D�-,�� Y <br /> whother s�x�cNied hpp�e/n or no(. The q;ant/ng ol a pemid does nor rasume to g/ve authon to U <br /> perlom�ance ol cvnstructron��Tha!i em�authon�od by he�ow�9Ua f h s o�pe ty�ro pe�r/�onn the <br /> work Io�whiGr.pplice(ion!s msCo and I comp/y w!N tho Stete Controdors Law 7817 RCW and <br /> 296.200 WAC. <br /> 1/.(.+%�� h�/Z��!/ <br /> y"°uu° a�e — <br />