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� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-6857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />y21 % `'�S �h L�� `, t- L'.vr.rr_II <br />PROJECTADDRESS <br />��4-07 <br />0708-�� <br />ZOSC. Co.i)i�U�i�rU� 1� IV �� %��Ar��IP Dr I^�q��v�� �.JA '71�Ti �G��1Z�%SQ� <br />Ownor Ma1lMdroas CMy Shte2ip Phone <br />Tenant <br />Mnil Adtlrens <br />Clry <br />Stete�Zip Ptwna <br />�ecCW Ele���•'c �,1; �ip,� ��LGd� rri.�% C��c<< l�q 4�Di'2 NLf,so1'o476 <br />EIBcM�IConhector MailAdCreas Cdy Shte2ip Phana <br />rr�� �.' �i�(N� <br />State l �censa Number <br />jP.a^� l.!��r.,r_� n��P <br />Propo.' Use 1 Bmlding <br />��Sa `� <br />Contrad Pnce of V�brk <br />y� r, <br />4�e� �C' 'U <br />Condci Person �Plan Reviaw) <br />Oeacriphon ol Work to Be Dorre ( r ��- � �. ,� � <br />_1�Vl�i�j �/Jc7ctd_ e2 �llo f. <br />NOT[ WIRING IN NON-DWFLLINGS IS REOUIREU i0 �fEf <br />BE IN RACEWAYS, MC OR AC CABLE <br />CITV OF EVERETT LOCAL SALEB TA% CODE 18 �106 <br />I hereby certdy fhnl 1 Nqve rnqd end e�ammed fhis epplrcehOn end Mnow fhe sqme to be true end <br />cormcf All provsions ollews nnAordmances povemmg fhis typa ol wor1, wrll be completed <br />�shethei specAied herom oi nof �he grenhng a! e pemxf doss no(prewme fo grve euth,onty to <br />violete or cencel fMa pmvisrans ol eny ofher sfefa or bcel lew iegu/efmg constnidron or the <br />peAormenca ol mnsfnstron Thet 1 nm euthonzed by the owner ol fhis pra(rerty io peAoml fhe <br />work lor which npplicxhon is nrade end 1 compy wdh fhe Stete Confrnctors Lnw 1 B:7 RCW end <br />296 200 WAC <br />; -L.7�' _/ ,�1 � <br />lJ <br />