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UGi05/201� ll: at; 253-531-7754 r�ROVI�Er�it EL[CTRIC PA�3E 01 �0: <br /> • • <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STR[ET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www everettwa.org <br /> APPLICATIONS ARE ACCEFTED FROM 8 AM TO 4 PM <br /> (p �1 I til� � S� <br /> PROJECTADDRESS <br /> _C__�c �4�e."�e�'�`f`f2�1 hn��1�4� _ c� q8og2 �ZS-z�S�i�1� � <br /> Owner Me�i Atld�esa Gry State//Jp Vhone <br /> tenant MadAearess C�N SIa�a2v PhonO <br /> ' Q�lI���'�c�j.L�._��L7og�l C�JiYN�— - G'F1��2'253-�031��50 <br /> F'6cinca' Contractor ldaf�Od�o,s Slale2�p Pno�e I <br /> �pVZE.���3C� . — -- -- -- — <br /> State License Number COntract Pticf Of Wo�R <br /> � I <br /> '��._._." <br /> Proposed Use ot Hu�lOing Contad Pe so (Plan Rev�ew) <br /> Descr�pt�onofWorkto �e0ona 1 FUaI �Il�� ���.[ ���� �`*`�'� __._—__ <br /> NO1 E WIRING iN NON DW[LUNGS IS RFUUIFiED TO FEF � <br /> 6[ IN RACEWAYS, MC OR !1C Cl161[ � <br /> qo . J I <br /> CITY QF EVERETT IOCqL SAL[S TA% COpE IS J10> / ' ( <br /> �honiby coihly flraf I�avn roaU xnJ rrqmined fhis apphcafmn and Fnow fhe sam�W De hue nnJ �I � �1 n _ � l}� <br /> co�rocf All pravivon5 oIlawS end ord�nancps povommg Mis fype ol work w�ll be mmplefed W l <br /> �,nerno�srec,r��i nd�e,�o��,or !hn qn.nGng bl a pnrtnr!docs no1 presumo to give autlronry h� <br /> wointe nr cancei tnc prov�srons ol any ofho�state or loca�lew�eyulalmg consVuctWn o� Uio <br /> pe�fu�manr,A o!conslnicLon Thnl I am aufhurhOAby thn nwncr ot Ihis prt�peity to n�dorri the <br /> wo�ic lo•whiU applicebon is made ar,tl!romplV wRh fhe State Contrectors Law ifl 27 RCW and <br /> 796 200 WAC <br /> �' ��5��'-1 <br /> SI{� lIU � ndlP <br />