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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257 8810 - FAX 425-257-8857 - www everettwa org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />�� � �' <br />r <br />PROJECTAODRESS <br />„ ., <br />, , , <br />� � ' � ` '- _L �-1 ' ' t" <br />' � �_ !�_ i1 _/, _ ,,. . _ '_ '_� , �_ 1:�t, • � '' <br />u-_ • --_ . . : � <br />Owna� Mml AAdmss � CRy SleleZp Phone <br />fenanl . .. .. <br />f Ixdncal Conhaclor <br />State Li[enee Numbar <br />Mad Atldmss <br />MailAddmse <br />"L•�'�C /��( `///i[ �'l.� / <br />f�roposed Ux ol8wldvq <br />cm <br />Steta'tip <br />Slate2ip <br />Contrad Pnca of Work <br />CoMed Person (Plen Rewew) <br />Phonx <br />Phorro <br />UesraipUonotWorktoBeDone ���. ���.t L !_L_c_��< l� �; �/V�� %��-C. LL� ,/i"i _ <br />11� /�'L �1��%r �IC'CiTIv,� <br />NUIF� WIRING tN NON-DWFLIINGS IS REQUIRED 1�0 <br />RF IN RACFWAYS MC OR AC CABLF <br />CI7Y OF EVERETT LOCAL SA' 'S T47t CODE IP 7106 <br />I herebp ceh�y fhef I heve �eec ' r�emmed fhis eppbcnhan nnrl wnaw Me senre ro Ae true end <br />correcf Af prowsmns ollewr n�„ _•Ainances govmnmg this rype nl �vorM wrli be cnmpeteC <br />whnfhxr sF�!����eA he�ern or rol i ne graNrng ol n penrrn Anes nof prey�me lo g�ve eufhonfy lo <br />v�nlefn oi cnnroi the prowsarrs of eny ofhei sfefe or locel lew regdehng consfn�<�hon or fbe <br />perinrmance al cnnstrucbo � Thet I em suthonzed by Ihe owner ol this popeny to perform fhr <br />�vor6 lar which eqo6cehon i� nrede end I comply wrlh flre Sfele Conlreclors Lew IB 27 RCW end <br />; Ofi 200 WAC <br />� �, , )� ���. l.( ', . <br />�: ��i� � <br />_ _ —_ _�—._— _ <br />Spnntum ��e <br />FEE <br />