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� _ . „ : � � ( I '. �GA'�•' �:, ��.'� � l <br /> ELEGTRICAL PERMIT APPLICA710N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDP.R STREC-T, EVERETT, WA 98201 <br /> 425-257-8E310 FAX 425•257-�057—v�vw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 nM <br /> I ZI►�� IG��" sT S� _,--E,�ere,-tt � �:ZOS <br /> � PROJECTAD�RESS <br /> Ul v�er �ith�r' Sa,rv� aS�•bCr(e ►�Z5 3�13�59 <br /> Owner nlail nUJ�ese C�ry S�aie2�p Phone <br /> TCn�nl �dnilAtlUresi Clty SlalelZ�p Phone <br /> _ ,m I�ea�i n I nc I�l15 8roo�wcu� E/erer� W A QBZA I �25 25q�o��� <br /> EIBCtriC2�COn�r8Ct0� Fdail Adtl�o55 ��ly SI016�ZIp PpOn6 <br /> ,C�,(1'►F - Nl�q 0 l C� �� r <br /> State IJc�nse Numbnr CoMred PriCe ol Work <br /> Pruposed U�e ot[iwldinp Cumact Person (�lan Review) <br /> � [�escr�plion of Warl�lo[le Dony 1 nS �`�11 I� � � V ' ' "� _ <br /> INOTE WIRING IN NON•U'v:'FLLINGS IS REQUIRED TO f FEE <br /> I E!E IN I�CEWAYS, M(, OR AC CABLE. I <br /> CITY OF EVERET7 LOCAL SALEB TA%CODF: IS 7105 �— <br /> I here6y ceiLfy fhef/Have road and exonunocl Lhis appliretion end kno�e tho same to be vue aad - � � <br /> conect. All provisions o�Inws end ordrnances guveming fhis type of�vork will6e complefod l � �Z L� j (,� �J <br /> � �vhof0er specdred hproin or not jho p�anling v!e pe/md does not�v tsuma k�grve eufhonty fo <br /> wJlpfC OfC,1RC01 fh0 pIOviSiU��S 0�E�y dIhCI Sfafe oIIVCA�18w fegUlahng conshucGon Or tha <br /> iperlormance o/ronsf�urhon Tbaf 1 am euUin�zed 6y fhe uwnar ollhis property Po peAonn Ihe <br /> work lor which apF'bc�(ipn�s rnode and 1 comply wdb tNe Sfate Conhacfois Lew 78 27 HCW antl <br /> I ?96200NAC. <br /> __��/ � ��' �� <br /> �� .tynal e —-----�'�ace <br />