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0� _:t Y0117 I?:IL 1'\\ 1ti111iG1�AJ5 G112\�I\ I:\'I' I\I' <br />ELECTRICAL PEftMIT A.PPLICATI�JN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR (1: REET, EVEREI'T, WA 98201 <br />425-257-8810 - FAX 425-257-6857 - www.everettwa.org <br />.. , �/ <br />% �i <br />APPLICATIONS ARE ACCEFTED FROM 8 AM TO 4 PM <br />.a- <br />ya.�--,�- ��>� ,�u�ti�E �/ � , <br />PROJECT ADDRESS <br />lonent <br />/ . <br />i: i � i : �� � . �': / �� �// ! i <br />Mell AdJa�e <br />��Yi�/ �=NT��P�B/��G <br />[IcctnCal Conlra['or Mell Addraxe <br />�A,�,ii� T99/ CJ <br />Slate Llcanae Numbar <br />,�fS/DE.V77A�G (DUPLEX _ <br />Propuaenl Uee o1 Buliding '' <br />`�'�Y <br />Clly <br />SIelUlip <br />�350.� <br />conired rn« ol wo� <br />Contect Porson (Plen Rehow) <br />Deacnpnon ot Work to Be Done� ,(/�/Qy� ���l��� TE/ill�v.Pi9.(1�1 .S[��P///Gf <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE <br />CITY OF EVERE7T LOCAL 9ALE9 TAX CODIi 19 J106 <br />I horeby certily Biaf I' i� ruoJ and o+eminod fhis eppliceGo� � end know tho sema fo ba fnre and <br />currvr.t All pipvisru� is ulluws nnd orduien�es gawrnrny fhis rype ol wo�k will 69 complvfed <br />whxflrsr speCifled Irer6ln a nof. The Jr<inbny o/H �wm��I dops nofG msunio fo �ivo uuf�onry fo <br />holoto or cnncel the pioNsiuns oI any o(lror sfato or local law rvpvlafmg construdion oi fM10 <br />pedormonca ol oonslruclion. That 1 em auNo,izad b� fhe ownor o! fhis property fo perlo�m fhe <br />worh /or whklr epP���nfion is medo nnd I a�mply wrN fhe Sfete Confredors Lnw 1 B 27 RCW e.ad <br />296?00 WAC <br />FEE <br />,��"DO <br />Ia.1011_ 110;1 <br />Phone <br />Phone <br />