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IJp � . i 'J , i�_IiIC ! l -Cn�� ICCni;-, C`iil ���S ���� ��C .-� � � • � <br /> i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF E�(ERETT PERMIT SERVICES �y._0� <br /> 3200 CEDAR STREE7, EVERETT, WA 98201 �/ — <br /> 425-257-8810 - FAX 425-257•8857 —wv,nv.averettwa.org C p6 �/ — 07� <br /> A?PLICATIONS ARE ACCGPTED FROtA 8 AM TO 4 PM <br /> ' �3U3 �u �i c� �St� I o2 <br /> PROJECT ADDRESS —� � <br /> � , <br /> , � <br /> Owner � t�tauadyress C��y ' SWle/Zip Phcna <br /> �Mr /'„ ,h �-�,, 3ZZ�f mc.{ 6c,i,cQ �./�¢. �-- u� 9�71J� <br /> Tenent IJ,all Addr06o Clty SldtO?Jp ' Phene <br /> I �c�h na S,ns�cn�I h� ��-kZ 5� . �-}�, PM�2� ly]�-�� <br /> EIecVIcalCorG r MallAddrass Ciry S:ateZa•W�— 90��U . <br /> � ��% <br /> -r�c�+�vss E�68�k�� � �"a l� <br /> State LlCense Numhor onVaCt Price ot Work <br /> ��17�m�n K� �G���b <br /> Proposed Use of Building Contect Persan (Plen Revlsvr) <br /> Desedp�on of Work lo Be Done: ( LA lLl� � • � <br /> �� Y, � <br /> � . <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE <br /> CITY OF EVERETT LOCAL SALES TAX CU�E IS S1�5 <br /> I hereby certrly lhat!have reed eny er.omined fhls app/lcetlon ond kncvi 1ha same to be true and <br /> correcL All piovisiens e`laws end ord/rances goveming thls t}�pe of work will 6e completed <br /> whether specified hereln cr nct. Tne pranling o(a permd does not presume io pive euthCriry to . , :��� <br /> violete or cence/rhe provlslcns o/any oth5r stete orloca!lew regu/efrno cons;nrc800 cr ihp �' <br /> per(crmance o!constructbn. Thaf 1 sm euthod.eC b}�the owner ef this prope,�y to parortn the � � <br /> wor,�fcr�ztilch a !lco.lcn Is made and 1 comply with fhe Siste Ccntrec,.rs La�v 18.27 RCW Und I�r ' <br /> 296.200 WAQ . <br /> a � �� lD o <br /> �'`�l �zs _Z�a- .� Sv�3;' �'� � � —��`�I , <br /> .� � �zb- z�'8 - �g�� <br />