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ii zo sniz i7::f:f I:\\ 4C'61:1CiiH <br />�':\It51(I.I. I;I.IiC'I'K I C <br />�001 70J <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EV�RETT PERMIT �ERVICES ���„_ ��� <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org �� — � — � y <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />tP��� 9B�° P�. SW <br />PROJECT ADDRES8 <br />��r� �_ /�n,�� e c P�_ 13.�_�LLIa-_C.i�a.�ss-�a/A . 96 ZOb 4 u" vL�-. tb88 <br />�VY f Meil AddrBs9 Clty SIBIJ/Zlp PhOfe <br />Tenanl <br />�dail Addreas <br />Ciry <br />Slale/Lip <br />Phone <br />40�f sRqt IwkF_ � u�33S' 76 <br />�3N�.�i• E't� tiw�r� %.� a.��.ic �Jh rj$�rY? - <br />F.IocMcel CoNrpC�of Mail Addrase Clry Stulr.2lp Phone <br />�lA2nlE EI�i1R �(� �{--- �' — <br />Stete Lir,enso N�mber Cunhact ri e ofP Wor� <br />i <br />5f2 � ��1 .�I �r <br />�'�oposad Uso ol Hu;ldin9 Conlact Person (Plan Revlew) <br />Descriptlon ol Work lo Bo Done: <br />_ i(.�E c.� i. s n i-s ri , G�f � e i� <br />NOTE: WIRING IN NON-DWELLINGS IS REUUIRED TO <br />BE IN RACEWAYS, MC OR AC CABIE. <br />CITY OF EVERETT LOCAL SALGS TAX CODE IS 9708 <br />� <br />o� <br />� <br />3 <br />1 heve reod end exemined thls eppllceflon end know the seme to be frvo end <br />ns ol lews end unlinences governlnq th�s typa ol wa.ic wql be complefed <br />9rein o� nol The grenhn j ol e permit does not prasume fo plve euthonty fo <br />� proWsions ! nny ofher sfefe or locel law nayulatlng conshuchon or fhe <br />slrucflon i l em authonzed by the owne� u! fhis pNperty fo perlurm thn <br />catlon Is m de nd 1 compty wlfh the Sfefo Cantr�cfors Leri 10 27 RCW end <br />�,,�.-.,.. ---p�� ",���� ------ <br />FEE <br />( �� <br />�� <br />L �' � � ��'� <br />