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Jan 22 06 02: 41p p. l <br /> ELECTRICAL PERMIT APPLICATION <br /> CIl'Y OF EVERETT PERMIT SERVICES �`a Z o � <br /> 3200 CEDAR S7REET, EVERET7, WA 98201 //�� <br /> 425-257-8810 - FAX a25-257-8857-www.everettwa.org Cp�D�.�j� <br /> APPLICAT!ON"ARE ACCEPTED FROM 8 AM TO 4 PM <br /> GO� /N/ /� y� <br /> PROJECT ADI)RESS 2,5� <br /> � �u.Qtaa, zsoP <br /> M C/}-rC/4 �t F �1 N� LJ ��l 1 ! <br /> Owner Mall Addra� Clty SntefLP Phons <br /> Tonent Mell AOdrefs Clty SWN?Jp y 2 f Pho�e <br /> � X 360� � • v 9��.0 '�'9' .Z/ / <br /> Elearicel Contractor R�au iuldrese Gty 3uu21D Phona <br /> I�Y�'A �11,( y k G./� /�pnt> � <br /> Stete License Number ContraA P�ico o!Wor1c <br /> GA�.[�t • ►LU ' � <br /> Proposed Use of Bufltling Contect Person (Plan Revlew) <br /> DoscripUon of Warkto Be Dono: � ��LU 8/� �x� . <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED 70 F� <br /> OE IN RACEWAYS. MC OR AC CABLE, �� .��� <br /> CITY OF EVERE7T IOCAL SA�ES 7AX CODE IS�105 <br /> �;iereby cortiry ihet f have resd end exom/ned fhls oppficetfon end know tbe same to pe true end '[G$V l —G9"3 <br /> co�roct. Atl pr�7vlslons oflaws end Ordlnnnc9s povorriinG thls tyAe Of work wilf DC Comp19te4 <br /> whathar spac7Red hereln or noL TAo prendnp of e pe�fi7t does not prosume to glve eNhotl(y to <br /> violale of Cence!the provisi0r7 0l any otAor ste(e or locel law ropWattnp c�onstrucllon or the <br /> perlormencu o/conswcGon. '�17�ei 1 em aufhorizeC by fhe owner o!fhls property to perform tha <br /> work 7or n-hlch e�pllceUon!s mado and 1 comply wlth!hs Stero Confrocfors Law 15.27 RCW end <br /> 296.200 WAG. <br /> ���1�� i/z�.o° . <br /> Ipnawre � � ���� <br />