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� ;. <br /> ELECTRICAL PERMIT APPLICATIOM <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi', WA 98201 <br /> 42r257-8810 - FAX 425-257-8857—www.everettwa.org ; .v, <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 5 JI c <br /> l � � 5� C-�I�Ei� M� u w,��{ �v��Zt�T W .4 7�7�� <br /> PROJECT ADGRESS <br /> .Z�2� �Uc�c� q�F Su �-rt io� <br /> �j,A� �'�RL ESin � SEL�VY�ES '�'�E't% W/k �jj�Zul <br /> Ownef Mail Address Ciry SlalefZip Ptwnc <br /> �?!I-1 CcS=� DGuG s ra�c5 (�t $ux 73of�'�`) Po�7t,'�N� �� , `1'�{2J ! St?(�2(� 9Y3� <br /> Tonanl Mail Address Ciry State2ip Phone <br /> -�s 71f /��'6 �✓. S u r rr'" � <br /> S� r�n� GLrcl�(L isp2� L�(nr ,.r ��eu.� t,v�- ��Q��- �(ZS7�'397cy <br /> EleclficelConVactor MailAddress Cily Slate2p Phone <br /> STrt�,D�� .z"�3��c� �✓� L/5�, "= <br /> State License Number ConVact Pri of Work <br /> }�/ ,� 's�i��b[.�/�i�oY1 � er <br /> !' ��ICY��11/1G'�_U % <br /> Proposed Use of uildin Contacl Person (Plan viow) <br /> � a�c., - 73v - �5G7 ��11 <br /> Descriptlon of Work lo Bc Donc: �t � �/� G2J UL/ / !� ��_� �i 7_ CQUIX��) <br /> I � � !"`L � I �i V l'-��U � . lU /1 G�,' <br /> ` n �- � �;, �,� ,� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO F� <br /> BE IN RACEWAYS, MC OR AC CABLE. a <br /> CITY OF EVERETT LOCA�SALES TiU(CODE IS 3105 ,� ��/ TT J! <br /> 1 he�eby certi(y fhat I have read and examined this applrcation and know fho samo fo be fruo and � <br /> correcL Al!provisions ollaws and ordinancos goveming fAis fype o/work will be complefod <br /> whether specified heroin or nat The gronting of a pertnd does nof presume to give authonty to <br /> violafe or cancel tho provisions ol any other slato o�focal law regulating construclion or the <br /> peAarmance ol consfrtic(ion. TAaf I nm aufho 2od 6y(he owner of fhis property to pedorm fhe <br /> work!or wh�]ich applicafion is madc and I co y wifh fho Sfafe Confracfors Law 18.27 RCW and <br /> 296./ <br /> � <br /> ' S /o �a7 <br /> . <br /> SignaWre �� <br /> G-��o� -d�1 <br />