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Sep 13 os o1 : i3p P• 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320Q CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425•257•8857—www.everettwa.org � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEDIT 8 CRu01T CARDS ARE NO7 ACCEPTED <br /> ��`o� cr►Mtiti�r�c.�rA.� yZs <br /> PROJECT ADDRESS 3 3� <br /> ��� ,�M6xL� ��r ►Ry� <br /> �I�uer� cvR���� �so2 �t 4n�.v l� Pt..!/IcN�F.���,�_ <br /> Ownar Mtil AdCnu Cly � S161�21p Pnon� <br /> Tenant FMtlqddrw ciy shamp y£h�n� <br /> '�' <br /> �YL.A�va,�.t. t xS 3�or ��e�(L� , �Ev �r�t7 ��'�o/ x �� <br /> El�ctrlal Contnctor Mctl oadr.+■ qry Stau/9p P�on� <br /> �'��tl Sl /S/Z G,!° <br /> Smta Ueanse Number CoMreet PAee of Work <br /> SF1/L <br /> aroposad Usa ot Builalnp Contect Person (Plen Review) <br /> Deuriptlon of Woric W 6e Dons: � � �2 �� /��t(J �w1( � <br /> NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �s—o�G <br /> c�rr oF EVER67'P�ocAi.SALES TAX CODL�IS slos <br /> 1 hmby cerUy ihat I heve roed end axaminrd thls�ppf/c�Uon�na know tAe a�m�ro be mre and <br /> corrocL All prnvl�fona a//aws and ortiln�ncss pov�mm0 thls fyp�of work wil!b�eomp7�f�d <br /> w��rho�spacifi�a heroln or not Tha�nntlnp ol�perm7t doaa notp rssume to plve suthodty to <br /> Noletsoreena/th�prov/slonsof�nyoth�rsht�orlxUhwnpul�tingWnsWUlonorthe <br /> po�formonce ol const�uctlon, TAat I em Buthodud by N�own�r olthlap rop�rry fo perform t�e <br /> work!or which�ppllcaUon Is mad�and I comply with fh�ShN ConinctOrs L�w 18.27 RCW end <br /> 296.Z00 WAC. <br /> �� ! i3 .,f <br /> tun il� <br /> E o5o�i -CCoS <br />