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o; iz �nio i:�:za r�.� :tcos:;�s.t:s:; c:�e��i� t:�•r i�c f�oui noi <br /> � <br /> ELECTRICAL PERMIT APPLICA,TION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-88i0 - FAX425-257-8857—www,everettwe.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM i'O 4 PM <br /> / 7/f /� r� o %,� <br /> PROJECTADDRE39 <br /> ��/� n y�-870-�7� <br /> yS�,L�L�m,_ noii / �// /�/ C��Lx �i.� �i� 91��� <br /> �OJfler MeliAtltlren Ci,y te/LP P�one <br /> _ �/T <br /> Tenan MaIlA00rec� Ciry StalWZip ph�g <br /> �j�0-�s`3 — <br /> a,�, �, fi�� .,,o l�� Pa ,�� / a_�,��� ��>a 9 � � <br /> [�Oct(Ic81 CoOlrador I ell AAdreu CI � StaleRlp phpb� � <br /> G <br /> �.�I,f'G'7��99/�.T � � � <br /> Stete Licene¢Number Contract nce of Worh <br /> `S�,e .�f���C'�'����,., <br /> Prop000d Uee of Buildinp Contect Pe�son (Flan Review) ' <br /> Dexription of Worh to Be Dono: ( �A st ,c �QJ� �D�,/,u ��./ /1yQQ ���a.,,,- <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL 9ALES TN(CODE IS 5106 � <br /> 1 hereby ceMily fAot I heve road ond oxamined fhls o�plicofion end h7row tha same fo 6e frue and <br /> corlecf. All provisrons ol/aws ond orclinnr,qos govommQ fhis lypo ol work will bo comp/efsd <br /> �yhethor specified be.ain or no:. Tho�rsn!�ng o,`e permd doas not resume fo Bive euthotlty fo <br /> violate w cancel fhe pmvislons ef any ofher sfefe or local law mguPtinp consWcfion o�fhe � <br /> pedamance ol construc(ion. Thaf I am eufhonzed by the owner of fhis properfy to pedorm fho <br /> �wric kr whicA epplicofion is mado and!comply wiLh tho Sta(e Confracfors Law 78 27 RC W and ' <br /> 296200 N'AC <br /> � � ,po7 `�� <br /> pne u ;e � <br />