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OB/OB/11 �ov iz:oa FAS 208 J82 8892 TC �001 <br /> C �. <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETI',WA 98201 <br /> 425-257-BB10 - FAX 426-257-8857—vwvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FRUM 8 AM TO 4 PM <br /> 1927 YZ vakes /},��� �u�G�//a- Z.ol <br /> PROJECT ADDRESS <br /> So,.. �Il:s 7�1/U fr'6�`Sf A16 � �„c�.%�e W� 98'27v _ �/u31y-//QS <br /> Ovmef Meil Address StatrJ7�p Phona <br /> Tenant Mail Address Ciy state/Lv Phone <br /> EIeCUical ContlaCtOf Mail Addiess Ciry StnIGZp Ptwne <br /> State License Numbar Contrad Ptia of Work <br /> /M�X.i/H1GN� n0/DAC// �o�n K�+I�S <br /> Proposed Use of Bui ing Contad Person (Plan RevievQ <br /> Description of Work to Be Done: �r a+ov�' a �r wei�r Se�✓•ce �o /L.�_ lio�!t n� k.r __ <br /> V1dUSG `�Lsevt �e e^v�n �/�y cz/� 7�r� e.•�e,•r`�s �n t r.�r� i het�ra� <br /> r' l <br /> NOTE: WIRINO IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERET7 LOCAL SALES TIJ(COpE IS 3105 <br /> 1 hereby certily fhat I have read and examrned this application and imow tl�e same fo be bue and � 1 �� - Q�� <br /> correc(, All provisions ollaws end adinances goveming thiS lype of wdk will be COmpleted <br /> whether speci�ed herein or nof. 7he grantlng o!s permit dces not p�esume to qive au[honty fo <br /> violafe or cancel the p�ovisions of any other state or lorel law regulating cpnsWdion or the <br /> peAormance o1`consnuction. That I am authwized by the owner o1 this properry to pertam the <br /> wak for which epplicafion is mstle and I compty with tHe Stafe Confrec[ors Law 18.27 RCW and <br /> 296.20D WAC. <br /> � t�-,� 8/S/�i/ <br /> ���� � e <br />