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are ne n� on::tsa <br />/h-'}_cJ�p.t <br />ELECTRICAL PERMIT APPLICATIfJN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CGDAR STREE7, EVERE77, WA 98201 <br />425-257-8810 - FivC 425•257-IIa57 — wvnv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />/32C5 r�'� �T .rr,� <br />PROJECT ADDRESS <br />Owner <br />�1i'J Addrafa <br />Clry <br />>c Sr Sw, <br />Suie2ip <br />� <br />Pnono <br />J <br />—� <br />TCnenf h1allAdtlrofn C�ry Stlte/ZID ��� PnCne <br />��'�,fMn�EH. .SK. � 3Go� F i .�v �Slr ,.�'�ei '�S9 -�✓G� <br />tlocMcolContractor raall�dOroee Clty SuteZp Pnone <br />�f'��Ns.riY��e ..._. <br />Stato Ucenso Numbar <br />� �/'LI �'1 <br />Proposed Use o1 Bullainp <br />Descdptlon of Workto �e Done: /yf�` 6B v�A M�e n, i <br />NOTE; WIRING IN NON-DWGLLINGS IS RECUIRFD TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CT' OF EV[RETT LOCAI. SALES TAX CO�E IS �t05 <br />I he�eby cortlly thot l hnvo reed end exerr�ined fhis eppllcaflon end know th0 <br />ee�reeL AR p�ovlslens ollews antl ertllnnnces povem,�n t/rls type e/�vor� w <br />whefherspeNfredlrera/nornot. 7riepient�npolepo��tdoesnct presume <br />vleloto or cancal the provls�ons ol anv vfher stafe oNccn/1ew ropulClNp con <br />perfumence ol cons�ructfon. TAnt I am 9utl:or7zed Gy the ownercl fhls prCp <br />w0�k �Or �vhich eppllce6on Is medo nnd 1 COmpfy ;vlfh, thA SfAfe Con(rgclo�s L <br />?96.�OOWAC, , , <br />/o �9�0 <br />��� ` <br />Contrect PriCe Of WOrk <br />ConWct Person (Plan Review) <br />> to be frua ond <br />corn,'�etecl <br />re eurnonry ro <br />�lon Or Q7e <br />o pe�fqm� tho <br />&Y%F2CWnnd <br />FEk <br />/D,� � <br />��,-� <br />�v <br />�:- <br />