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�LECTRICAL PEF�MIT APPLICATION <br /> CITY OF EVERETT P�RIVII�' SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 39201 3 _�Z„/7 <br /> 42�257-8810 - FAX425-257-8857—www.evc.-iefiwa_org <br /> �� /�a3-C6 l <br /> ApPLICATiONS ARE ACCEQTED FROM 8 AM TO 4 PM <br /> I Du I U 1� �� �i���� C���e�field ��''� 1���� <br /> pt20JECT ADDRESS <br /> LC�i��r I2�r�,1 6 � � � �1�'��'� � ��� I� o � <br /> Owner 'I Aedress CAv D rh«w <br /> � ��" Phone �� <br /> Tenatlt Mail Addn�ss City Sta�V <br /> ���C an�1�c.�- �?�C � ei�l S �'ir�r��/�W�l�q�o22���� ��s��� <br /> ClectrtWl Co�UnCtOf Mnil AdAross C� Sla�e��� Ptwne <br /> Pr.e� i ee q��� � ��o ov <br /> S�ate license Number Co Vxt Pri oi Wwk <br /> �� ,�� / �r �� �i` 9 n / <br /> Pro Use of Buii ng Contad Person (P Review) <br /> oexrlpiion of waK to Be Done: <br /> � i� .e _ l d � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> B[IN RACEWAYS, MC OR AC CAl3LE. <br /> CITY OF EVERETi LOCA1-SA�T�JC CODE t3 3105 <br /> 1 heseby n3rtily that 1 hnve road and oxsmined this applicatlon ond knov�the same to be tme and u� �� <br /> correcf. iJl prow'sion�of laws and ordinancos govermr�g thfs tyAe o�wak wil!be completed �I ZC�� <br /> whsthor speafiod heie/n ornot T]ie grant/ng of a pennd does not presume to give authonty to <br /> violate or conce!lho prov�sions of any othor state or local lew regulohng conSfrucGon orthe <br /> peAonnance oI r,ar::tmcfion. Thet I am outhonzod.by tho owner o7this property to pertorm lho <br /> work lor whlch applica6on i made and 1 comply ia�Rh the Stafo Contractors lnw 18.27 RCW end <br /> 2�e.z war.. <br />� � °I �'� <br /> Slpnalurn te <br />