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ELECTRICAL PERMIT APPLICATION <br />EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evere:twa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />/ 7 Q � - /L161/UC l .�-ll l� �✓�! <br />PROJECT ADDRESS <br />/�1' rilNi J' /Lt C K/'N L,C-.y� -- <br />Owner Mail Address Ciry Stale/Zip Phone <br />�I,� � ��iy rL[�i�c� � <br />Electrical �oNraclor Mail Address City Slale2ip Phone <br />/�.f � � 1 N 1_= C. 0 0 � n! T <br />Slale Liccnse Number <br />�S h/=- <br />Proposed Use of [3uilding <br />N Fi.� .i �/C � U 1/�i u� SE�2.v! �% <br />WIRING IN NON-DWELLINGS IS REQUIRED TO <br />[3E IN RACEWAYS, MC OR AC CABLG. <br />1 hereby certily fhat 1 have road and examined this applicafion and know the same fo be true and <br />coirecL All provisions o/ /au�s and orc6nances govemmg fhis fype of �rork �vill be complefed <br />whether speci6eA he�ein or noL The �ranfing o! a pernut does nof presume to give authonty ro <br />viol��teorcancelthe provisionsolanyoUierstafeorlocalla�rregulafingwnsfnictionorthe <br />perforrnance o/ conslruction. Tlmt 1 am atdhonzed by the o�sner ol this property to peAonn fhe <br />nork lor �vhich ap��ication is made and 1 cemply �rith fhe State Contrac(ors Lau� 18.27 RCW and <br />�9G.200 WAC. <br />FEE <br />5J� <br />