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Ilar . �. 20DS i: '`.=�' "EC4',A �';Sie!d: UIC ��;,.d:tF � <br /> � <br /> 1 <br /> ELECTRICAL PERMIT APPLICAT(ON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR 3TREET, EVERETT, WA 98201 <br /> 426-267-8810 - FAX 425•257-8857—www.everettwa.org • �� ? <br /> . ,� , <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /`l0 I I��K.2i �L �IC2QK• 1'�lrkbuly ; �jlc�y #�.. �/��< </0 - RJ <br /> PROJECT ADDRl85 <br /> �� '(.�lre �r�nn� / � � 19k0/ �(U+� �O�re L,v ?te1�l"�L. '�� <br /> OWIIif Mcll Addrou Clly • ShteI7JD Ph��� <br /> Temnt Mall Addroae Gy 6pbRlp ��� <br /> � TF 6 <br /> �r w^sn c Y�rs�,s T;�.�c. lh,�v�sur 1�v,4 ql��G � sy-,�r <br /> ElectrlcalContrector MaIlAOdna �CnY 64n/Zip PhoM <br /> �E.f ���c,� �P�/N,'�, OG�f�oe <br /> St�ta Ueenae Numher on ct Pdce of Work <br /> ntr. rrr'. <br /> Propoeed Uee of Buildinp Contect Penon (Plan Rai'aw) <br /> Descrlptlon of WoActo B�Dona; �n�/ Ub��"i'1.i,fP �/� B'd� ►�'1 �N�' �''�V — <br /> r_._..__�.� <br /> NOTE: WIRINO IN NON-DWELLINOS IS REqUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL�ALi3 TAX COD!li�105 <br /> 1 horvby cort�lY thAt 1 hovo roed and expminetl Mls eppllcetlon end know the aame to be frua end <br /> comet. All provlslons o(lews end oidlneneee vaveminc thls typa o(work wiU be complefed <br /> whether Specmetl heroln or not. Tne Orontin0 af e permtt does notpresume to yive oufhonry to <br /> viol f�olcanc♦Iths rovlelonaolenyofherateteorlocellewregul�fingconstrucNonorths <br /> pe�o ance olconpPrucfion. That 1 em euthorized by the owner oI thla p�operty ro peAorm tho <br /> work�r whlcb opplrcofion Is modo and I comply with fhe State Contrecrors Law/8.27 RCW und <br /> 286.200 WAC. <br /> - � �� � <br /> �y I iii <br /> ` Ipna uro <br /> �a.yc, (�t� po,r �r�a(�7�' �• 3 Eo - � Sg- a r 4�/ <br /> SA�r�F <br /> �G(9o3-c,z,z <br />