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• j <br /> ELECTRICAL PERAAIT APPLICATlQN <br /> CITY OF EVERETT PERMIT SERVICES �� _�b <br /> 3200 CEDAR STREET, EVERETT,WA 98201 g —" <br /> 425•257-8810 - FAX425•257-8857—www.everettwe.org C �Od g _�a3 <br /> APPLICATION8 ARE ACCEPTED FROM 8 AM TO 4 PM <br /> I 7 ! 'i (nle,tnw+-x.- i4ve. . E�...,..7t- <br /> PROJHCTADDRfiiB � <br /> 10hAI4 �ID✓���h G.opl�/�VLfro�. <br /> Owner ° Mai qaam� Cny • ston2�p piwm <br /> Tanant M�II AdC�a� Gry Smta2ip Phar . � <br /> . �1Arvlti E�L�'f'�.c , � 0.13nr 1���2 � IyJR✓y3'ViIJt. l..�.AJ9817o -3Gp-6i'1� � . <br /> ElecklalConttYctor MailAaarn� G St�t�Rlp Phona� � � <br /> 9Y3S <br /> GARvr� 199ic ,r -�� s� �- <br /> Shte Uaena Number CoMma Pdae of Work � <br /> SFR Pa..l C�t,w...�so��Yzr-x�o-TC3G <br /> Propoaed Uae of Bullding Contect P�non (Plm R�vi�w) <br /> Deeaiption of Wnrtc to Be Done: !��,.s. �� /�/�✓ L�All.wi �',_ i1�vw d- C R f <br /> _a;��r.:� l�..w1 cr f r4d d � o..�-sf'Y� r�c.�..v�� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL 9ALE3 T/U(CODE 13�106 ' <br /> 1 heroby ceRlfy fhaf I hew road end exemfied this eppOcetion end know fhe seme lo�e trve end <br /> colMCf. All prpvislons Of lews entl oN/�ences govaming thu fype of worh wA!be.completed <br /> whelher speclfiad heieln or noL The pmnhnp ol a permif tloBa nof p�ssume fo prve eufhonfy to . <br /> violah orcancel the Frovislons oleny others(ete o�Iccellawrepu/A finp conafrudion or Ihe <br /> pedormance o/con�tn�ctlon, Tha(I am euthonzed by the owner ot fhis Property fo peAoim li�e <br /> work tor which applicetian rs meCe and I cvmply with tne State Contrnc(ors Lew 18.27 RCW and <br /> Y96.7D0 W'AC. <br /> � , � <br /> �i.� �-i 9 �,� l� ;. - .� <br /> pna un e <br /> 100/100(�J �UI ,I.KiI 5:.121Y9 SCh6C590A£ XYd 6i.�6I 0107/BI/90 <br />