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c � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 8_�6 „o� <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everetlwe.org �gb$-la� <br /> APPUCAl10NS ARE ACCEPTED FROM 0 AM TO 4 PM <br /> 1123 NQ,t��k� �v�, E�e�-�� w� q � u�i <br /> y2s- �3 <br /> PROJECT ADDRE88 ��� � <br /> �<a�Zo�r��i� s�n� ►123 �1�1�1►I� ;Ghi�P -E�1��.-4'� 1� ��1 <br /> �� Meil AOOiess �m �b P"°"° <br /> '��(0 �2 � �Y1G�,�— ` c � . � <br /> , � <br /> renant M.�i naaresa c.�y suromv q 82�2. y' <br /> � s � <br /> Ef ricalCon or MeilAdAreu �HN �� �» <br /> �v � ��,��.� �� 3T1 ��jd, �O <br /> State Lialn Number �'���a/.pp <br /> `QUSI �S _ ti2s- z�-�2'.is <br /> Pmposed Use of Building CoMad Peiwn (Plen Review) <br /> Description of Work to Be Done: ��v `!1 I� �1 <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7706 — �j�c6�I?J� <br /> 1 heieby certily that 1 ha�re read and examinod this applicafbn and know the same to be Inre and <br /> correcL All provisions ollaws and ordmances govaming fhis type ol work wiB be,canWeted <br /> whethnr spea(red herain or not The granhng o/a permd does notpre sume ro piye aufhority fo <br /> violafeorcanceltlre provisionsolanyotherstatewlocallawrepulati,nsgperoonpsetrucYlonathe <br /> ��o er wh�lch appli�r.antion is�meh�a�1 iohmplY�h fhe S at te Contrma�clws Law 18.��W a� <br /> 296.200 WAC. <br /> . <br /> \ � � <br /> Signature Date <br />