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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRLET, EVEkETT, WA 98201 <br />425-257-8610 - FAX 425-257-8857 -www.everettwa.orp <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />3�1� �,��lu� A�c �,,��ti' u �fh `Is�r.l <br />, . <br />PROJECT ADDRESS <br />I v�2 �ve.+�}}' C�i�i L <br />Owner ldail AdA2as c�ty Stete�Z�p Phone <br />L �� CCN1f.) S(*ic� Pl��t�, — <br />Tenanl AteilAdtlrees C�ry StmalLp ahone <br />i <br />�ucvdi2� Se�w�� 1•,. � 1��4 � I` A�r S 5�.:• <br />ElectncalConlractor V �.�ollAderecv cry <br />Gur�rd SS "L33 �'�� <br />State Licen55 Number <br />Proposad Vse of 13uild�nc� <br />Phonc <br />�� 4,`tOl� <br />Contrect P�co of Work <br />.�e�lo;k k;(�l� c���c,735•t iz <br />Cvntnct Person (Plen Reaiew) <br />Oescriptlon nf WOfklO Bf Done: �I�C' �%�«+w� 4�S,u+, � ���'�'`�� �C ��^=`u+�%�" S.�e �' <br />_._1 ,v,a�z� t�e_�e�.�roJ3 l�.�si, / S�.vH.s'� ct.,..ut S�w�v:�--, <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIR[D TO <br />�E IN RACEWAYS, Ml: OR AC CABLE. <br />CIYY OP [VERETT LOCAL 9ALE8 TA% COD' IS 3706 <br />1 homby cnrhfy lhef I hnvo road <br />co�roc(. All pmvisions ofla�rs e <br />whr.lho� Spoci�Od homin or not. <br />vio:nfo orci1RC011h0 ProVi5i0f15 <br />hnow pre <br />J/lLOlk 45 <br />g�r7°' U 3/ 2_ y/ 0 9 <br />Signaturo ��� <br />FEE <br />-� ,3 -1 I�{ <br />o tu be Irup and � �- <br />cromplofsd <br />vo AuthOdl}• fD <br />tion or the <br />!o peAomi tho <br />�8.27 RC W ond <br />Td IJ!+fi�:TT 6�a�,, t•� '.n-1J �t6hh-8�9-9C1�: 'ON �:Cd <br />.11lbll��S Nt1I��Nf1�J: W02i� <br />