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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C[DAR SIREET, EVERET'T, W/� 98201 <br />,425-257-8310 - FAk d26-267-6857 - wvnv evoretfwa.orH <br />APPLIC/�TIONS ARE ACCEPTED FROM A AM TO 4 PM <br />y�'�l� `� <br />PRO.IECTADt]R SS � <br />�"� � ZS' <br />��f'` S�u('.K��I�(. Cl S � ��. �_. ��-�"�> (� ��C� "�' � <br />NIG7 <br />Owncr CJ.1 IlPddmss Cily Sinle2ip Phono <br />---`�i �" . . --- <br />1r.nan[ MeilAddress Ciry State�lip Onone <br />� Z� <br />l�,r�,aaEe�1��+��� I 335� ►� I �' �S�- �P��-tiu,, (�, qZ�S _ �z -1771 <br />f_Iedticalf,nnlractnr Mn11PAdre;e Clry StatNzip nhune <br />��q�i'�� <br />�t:1ie LlCense NumMr <br />! ` <br />Proposed eto Sinlrlmp :�.�-•,,'� <br />� 3� �-' <br />Conlrett Pnce of Work <br />Conlad Penon (Plan Roview) <br />Descri�Hinn nl �Nnrk tn Ro f1unN IV[il/ �-��� �-^`, `-' r'�1'� 1 �/?��'� � n���"� � �'V <br />—1 <br />_ _ �v,,p�C�,�.�:�' •��- t.��.. .�.I ���r �,,, <br />NOTC' WIRING IN NON•DVJELLINGS IS RFQUIRED TO <br />BG IN RACCWAYS, MC OR AC CAPLF <br />CI1Y o(° CVCRETT LOcnL sALE3 TAX cpo[ Is J�Os <br />l hr.mAy cmGty fhnt 1 hnne rNeApnd ernmined fhia Op!)I�cajroi� nnAknnw fh0 6amn fo ha tnie Bnd <br />oormcL A/l provisions o! laws and oMmmrcos govrmrnry fhis typo u( work will Ar. conrplofr.d <br />�rhe�h�! Spl�eAhemin ornOf. Thr. )��nlinp p1 a FnrnrJ r7oos nnf prnsurnn fn pi�n nufhnnfy te <br />wolafo o� tnnr.r� pio prows�ons nl �ny oflror state nr Incal law ruyu/nfing mnsfn�crion or thr. <br />prr/orrn,9nco o! ronslrvction. Tbflf I mm �uthnnznrl !ry tha uwnxr n! Ihis vnporty b pe�lo�rn fhe <br />�ti�rnic for whiCh np{Ni:afion is mnde nnd 1 comply w�th tlrc St�fu Conhaclora l.aw �'B.T7 RCW and <br />2Bf 700 NAC. <br />CCi/Cli 39t',J <br />:)I�'J1�3�7 J3tIiJt7� <br />FL[ <br />� I�J�. <br />� (� / �1 (J � �� <br />998�;3ySZh t9:Et 690Z/60i0T <br />