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�j ooi. <br /> Oa�22i2017 OG:09 F.t.l' <br /> ELECTRICAL PERMIT APPLICATIt�N <br /> CIT' OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � �as��� <br /> 425-257-8810 - FAX 425-257-8857-www.evereriwa.org <br /> APPUCATIONS ARE ACCEPTED FROM B AAA TO 4 PM C�"II��`���� <br /> 93/f �Qrn AvE S'E �VeRE")r 99208 <br /> , <br /> PROJECT ADDRE3S <br /> f�ner SLnn�oh 93�5 /oT"q�esE Ev�ae7r w,4 982a8 y1ss�.�-3e7� <br /> C�y StalelLlP Ptlone <br /> Owntlf N011 Prlar�as <br /> � A <br /> Tpnarrt <br /> Moll naaroea Clry StoteZD Pnone <br /> Cl�o E/e��ric Zn� aa��a 9�nA✓Ea EDmoNOf wA 99�2e `1dS-77f1-35�ot <br /> EleGrical Conlredor MaU AOdreae <br /> Cm, SWte/ZIC P�one <br /> r �'scoEr9typ � # ysa�o <br /> Stato Llconse Number ConiraCt PriCe of Work <br /> FR RNKI E <br /> iQ ES I 0 ENT lA L � S/,J(��E fA.v�1 L� Contect Per9on (Plan ROviev+) <br /> Propo.sed Use of BWlding <br /> Ooscnptlon oF Work l0 6a Done: T �"� V�c�� E/C L//?GG � Gnh h eG �OhJ Y6 i' 8 �CG r! �__ <br /> _ f��nc��E YP. �1��C,� r� en � — � <br />� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 5105 <br /> 1 homby coiUy that I huve re9d end examined this applicaGon and know Iha same to be true and �� � ��- - � 2 �� <br /> condcC All provisions of laws and ordlnancos povoming thls rypo ai wnrk wlfl bo,comAlotod <br /> �I whothor spocifiod hnrein ornot. 7T�B D�n6hg o/a pe�md does not rdsume fo groe authority to <br /> violate or cancel fbv prov{sions aI any othor staro or focnl low ropuPbng conshvc6on or fho <br /> pnrtom�ance ol construct�on. That 1 am authorized,Uy the owner o/this property to perlvrm fhe <br /> �yoric!or which appllcatfon Is mado and 1 comply n•rth fho Stnte Controc(nrs Low 1�.27 RCW ond <br /> 296.200 WAC. <br /> ' �� �. 7/0� �J�'-` / / <br /> SigneWrc J10 <br /> F"iu., f%�L Nt ar-/'�.,� y �2iG -S9 s -6 3,59 `Fa,t PA yrr c-�T) <br />