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PR011 :Everareen ntab= He+t 8�"C FFa;< N0. :4252596660 . 7.+ri. 07 2etll3 U9:4,F,19 F2 <br />ELECTRICAL PERMIT APPLICA <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEUAR STREEI , EVERETT, WA 98201 <br />425-257-8A10 - FAX 425-257-U857 - w�wv.everothva.orfl <br />/9� / S'u ��.J .9�e' <br />PROJEC7 ADDRE55 <br />E iaa/� a/� <br />9�� / .T�� _ 57,'3' _ �/9/� <br />Slotc2lp Phene <br />��'LG2�y "✓ � •.�C- y17o ,/�i0c/i'i'G ,O� bi�, 9$�/ �3� - .�//�/ <br />[Ieclric�iContractor teuunddm::s cuy Siatr�X�p Hncne <br />Et/�`�2 G ss y,� �'",4/li _ <br />SIAtc Llcen3e Numbar <br />l��5i�r �fJ'r_ <br />Proposetl use oraulldinp — <br />- �.57�% �- <br />Contrrcl Pnco of Work <br />AD/� / Gat2GG� i % �v/L .!�"�Z-y�� ,�errfi� <br />WIRING IN NON-DWELLINGS IS REOUIR[D TO <br />6E IN RACEWAYS. MC ORl1C CABLF. <br />I heroDy cort�ly fha! l have ievd and oxumined 1hi5 aFpliCaLon and know fhu s�mu fo Lo trie nn;l <br />canecL All provis;ons c! la�vs an,Y ort/in�ncos ;� vnrrrng tF,is tyFU o/14o/k will bo complNltld <br />RhtlLhN� ]fJHC1f16J hpfJul O� /lUL ��W 9�i�I1GllCJ 0( � jJA/f!)d UOOS INIP resumo (o givq nufhr,nty lo <br />violafo or concel fhe provlsions ol anv olhrr stafe or lowl Imv ropulotinp tonsfruc0oi� orlho <br />�!orlorrnanco 01 ronsUuc(ion. Rru� ! am nulhonzaN by the o�vnero/ this finpoRy (o peiPorm tho <br />wnik lor �sh�c'i appCCd;�on is mn7o onN I complY w+fh Il,o Sfnro Contracfo�s Ln�v iB.27 RCW and <br />29G.200 LVAC. <br />FEE <br />