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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES s�g_Og <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425•257-8857 - www.everettwa.org �� ��5� <br />APPLICATIONS ARE ACCEPTED FROM N AM TO 4 PM <br />Sb� �{5 � CT r1c�. <br />PROJECT ADDRESS <br />Q�.�ry 1-1w��s _j �t \�'lW� VY1i�¢,� �Q- YWA�Ys���t l.�(� �iSZ-11 <br />Ovmer M�il Addresa Cny Sh1eZp 7� � Phone <br />_-�4ti� ' �S Z <br />Tenent <br />Electrical Contractor <br />Meil Adtlreas <br />MeilAdtlresa <br />�=uz.�t.�c �� �� �-1 � <br />State License Number <br />�.�1��v�E 1'YiSNI�i 171.��11�NL�� <br />Proposed Uea ol Butldmg <br />Descrip6on ol Work lo Ela Done <br />NOTE WIRING IN NON-DWELLINGS IS RFJUIRED TO <br />BE IN RAC[WAYS, MC OR AC CA�LL. <br />CITY OF EVERETT LOCAL 3ALE3 TA% CODE IS JtOS <br />1 heieby certdy Ihaf 1 bnve iead end e�emrned this epplrcehon Bnd <br />corroct llll provrsions oi lew< enA ordmences yn�ammg Ihrs type <br />whelhni spenlreA hernm oi nof The ,qien6ng ol n permd doas nol <br />vrolefo or cencel the orovisions ol anv ofher slefe ar bcnl lnw rwai <br />is <br />(\ �� <br />__`,r .. _.. '_ <br />Rpro — — � <br />''�__ — __ <br />��.'—" '.._ ., <br />Cily <br />cM <br />Slels2lp <br />Sbte2lp <br />�� j�i'j(:J <br />Contred Pnca ol Wbrk <br />'�'v6T `iZ�i - � - ��-?,� <br />Con�ct Parson (Plan Revlew) <br />aw fhe seme to ba Irva end <br />�+ork wAI ba completed <br />asunre to grve euMonfy fo <br />I19 COIIS(NC�101I O/ �IIB <br />ns property fo perfomi fhe <br />9cfors Lew 18 27 RCW end <br />F[E <br />Phona <br />�-� <br />Phone <br />�.,� �� � ��� <br />t <br />� <br />