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ELECTRICAL PERMIT APPLICATION <br /> I CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STREET, EVERETT, WA 98201 <br /> 42r257-8810 - FAX 42r257-8857-www.everethva.org <br /> APPLICATIONS ARE ACCEPTEp FftOM B AM TO 4 PM <br /> 100'11� ���� pr se ���'� G��-��;��1�' 25 <br /> PROJECTA�DRESS � <br /> L�r�y�� 2�g � �' .� � �i �� "/ �� ���� <br /> �WiIU( MOIIAAC)R59 CQy � SI. 1 P�10f10 <br /> � � <br /> Tonant M&1 ntlaress Cih Stata2D Pna�e^ <br /> ���/s��� �/� �� �z�s�r�r��.�'s���,��w�����2 � <br /> EleIXncal CwttructOr Mai1 Adtlrexs ��y TOtutip pno„a <br /> �/�G /�e �7���� � ZDO. �l/ <br /> Gite Voonse Number conPact Prfce uf Work <br /> lV� c� �r�r�/e ���/� �� ��i�� 2�� o�� <br /> I Propo,c�Use of R dd fl Con� Petson (Plan Re✓iew) <br /> ISquare Fnotaga(IF rns�dentral nvw�SW�pon, remodvl or addi(ion) <br /> i ��� o�� <br /> �eectiptlon of Wo�k ro BB Oone: <br /> � <br />�' NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �� <br /> BE IN RACEWAYS, MC OR AC CABIE. <br /> G� <br /> CITY OF EVERGI"i LOCAL SALES TAX CODE 1S 3t05 �� <br /> 1 hero�Y ceRAy(1ra1/have resd ond exam�nod Uus AppliCH6011 Il�d kqOw B��sdntp lo bp hue arHl L T�,.� <br /> rxrract. N/prov�siares of lewa und wd;n;mcns govemrng p�is type of wprk will be compfete0 �� 3� J� W� <br /> whe(hor speali�d herein or nc�, 77ie gronbrg ol a penrut daes not prnsurt�to give t�utha�ify to <br /> vidufo or ccuicel tho prowsions of any oUiar sYoh a'/Ocnllaw rsgu/uL'ny cpnshuqron o�Uio <br /> peAamnnc�e of const�ucGon. Thet I am outhonzed Gy the owner of th�s properiy to parhrrn dro <br /> wnk lor whicA oppUcah'cv�is m�dF,and 1 caripty wid�llw Sta2 Cantriw7ars Law ip,27 RCW arN1 <br /> 2�36 LYI WAC. � <br /> � � � �t/ � f� <br /> rwwre n� <br /> L �_ <br /> C12o9-��'( <br />