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EL�CTRIC�►L PERMIT APPLICATION <br />CITY OF �VERETT PERMIT SERVICES <br />3200 CEDAti STREET, EVERETT, WA 98201 <br />425-257-8810 - �AX 425-257-8857 — www.everettwa.org <br />APPLICATIOMS ARE ACCEPTED FROM 8 AM TO 4 PM <br />340 � �7 �- �4 �� <br />��i3—�z <br />�126/-03� <br />PROJECT ADDRESS yZ�32���3�2 <br />%-� E���� 7�C��hf� 3�'�� f/ �f �-��� � t,e�%i,` ws� 9��v� <br />Ownef Mail Address City Slale2ip Phone <br />��,,,,.� �s 6��,�r-- Hea�th .T�.� MgM� _ <br />Tenanl Mail Address Cily Stal=/Zip yz�-3 Phone <br />Z32�-/� i�y`.a� 5c � 3� 1-�30 <br />�jrn.� /1-LL' C/,o-n iL�; ����+-��cn5 L�o,/�.L 5i� v�a5 (.uri 9�z � 6 <br />ElecUical Conlraclor Mail Address City State2lp Phone <br />6d <br />�l.��v� /�it S �S 72� /� /, ?_ c� <br />State License Number Conlract Price of Work <br />CJ��{-�! C '� �J17 B/!c�`J�IL.0 � <br />Froposed Use of Bulldiny Conlact Person (Plan Review) <br />Descriplion of Work lo Bo Dono: <br />LF��=�- I/D �f <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALEu TAX COOE IS 3105 <br />1 hereby certily thaf 1 have read and examined this applia <br />correcL A/l provisions o(laws and ordinances goveming <br />whether specified herein or noL The granfing o! a permd <br />violateorcancelthe �rovisions (anyothersfafeorlocol <br />perfomiance of construcfion. Tl�at 1 am aufhorized by the <br />�vork lor whlch applica(ion is made and f comply wilh fha <br />296.200 WAC. <br />'/ ..: �j . <br />L <br />and kno�v the same to <br />vae of work will be con <br />/ j3/2a�2 <br />� L.1.� r'v�^O� � �� <br />FEE <br />and �� �U � —U�j�j <br />(o <br />and <br />