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Rpr 28 07 11:09a <br />ELECTRICAL PERNiIT APl°LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320G CEDAR STREEi. EVERETT, WA 98201 <br />425-25�-8810 - FAX 425-257-8857 — wv,nv,everettwa.org <br />APPLICATIONS ARE ACCEp7ED FROM 6 AM TO 4 PM <br />��« y� �� �. s,� Y��. <br />PROJECT ADDRESS ��� <br />�.��s�'.���+c�c ��i� �r� pc. r�' �u��za� z4s'9 <br />OW�or p;�IlAtltlrB36 Clly . Stnk2lp Phona <br />Mull AdErees <br />Ciry <br />s�hron� z� Pho�. <br />l�i�'[-�MDErL sFS 3l06/ Fv Aa� �v 9d'�o/ �5% �/(r/ <br />Electrlcal ConVaclor t.dsl� nadress Clry � 3mto2lp phonv <br />�f'��nrss�s�z c� <br />State Licenso Num�or <br />J' .F�L <br />Proposed Uso of Buliding <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Descrlpllon ot Work to BO Dono; /C,b n(�](i� 2a0 �^( /�' �j�/(/,�[. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />DE IN R,4CEWAYS, MC OR AC CADLE, <br />CITY pf EVERE7T LOCAL SAL[3 TNC CODE IS 3106 <br />1 her9by cerJ{v thbf f hove rood and exemined th/s aDr.11c <br />�n. i nai � am a <br />is made end ! : <br />FEE <br />����� <br />lun and a�c,r �nn semo �o ba true end <br />Js type ol wcrk k�'1 be complofed <br />oes nof prosume to pive authoriry fo <br />�wrepu/eQngcorsfrucfionorthn <br />�wnei0/fhlr p�vper�� f0 psAorm fhe <br />'ate COnfroCfefsl.O�r 7A,27NClh�ard <br />Y a! c�- <br />aie <br />iaZc•y-zC3 <br />