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r <br />ELECTRICAL PERMIT APPLIC�4TIOiV ' <br />; CITY OF EVERETT PERMIT SERVICES ..� �5 <br />;,�i�i� Cf_pAR STR[ET, EVERETT, WA 98201 5` <br />.1�'�i-<57-8t'.10 - FAX425-257-^857 www.everetlwaory ����� Y✓/� <br />vy <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />i <br />j � � <br />� � ' { �,� __> �`' " — <br />PROJECT ADDRESS <br />�II_ _-, �._ <br />Owner <br />I <br />I Tonanl <br />I tlCClflf.:l� C(1 <br />I � <br />��-�-1� <br />tdml AAdress <br />hlail AAdress <br />�lC � �_ � <br />hlail Address <br />�r� - � � � �_- - f��� �,•1�� <br />S�atc Licr,nse Numbcr <br />� 1 <br />C �r ��, ��,, I �, <br />Propos .d Uso of EiuilAin9 _ <br />Cdy <br />Cdy <br />Stale!Zip <br />S12te'Zip <br />Phone <br />Phone <br />���• �V r �Jl/II�/�L�. �.� <br />Clly ��2ip �I��Phane <br />��5�.�1-C� �������5�' <br />Conirect Price ol Work � <br />Con�ac� Person IPlan Review) <br />l � <br />I J �/ '- n / / ' <br />scriplion ol Work lo Da Done. � � / � -/� �_ /1 �"�,� C� �'r ✓� ��� <br />� •�. �'.— <br />��c�_��,�,�� �' � � S�r � <br />II NOTF WIRING IN NON-DWGLLINGS IS RE�UIR[D TO <br />BE IN RACEWAYS. MC OR AC CABLE <br />�� CITY OF [VERETT LOCAL SALES TAX CODE IS a105 <br />� 1 hrvrb� �.,,iLl� fh,d ! ha�;� mdd dnd rrununoJ fhis applrinhcn anJ knoa U�r snn�n lo be true anA <br />corn�cl All pnrvrsi��ns ��Il,nr� anAniJ�nunros �in��miny flus (ype ��f �vorh ��dl br cornplefeA <br />- wlrefha spra6rd hnrem o� nuf 1 hc yranhn� ol � pmrn�t Aoes nof vesume to g�ve authonty fo <br />violate nr cancel fhr, novisiorrs o! �ny ethvr state er locel law ienu�a6ng construcf�on oi fhe <br />peifornu�ne:e u! cons��ucfion That 1 em aulhon�eAGy fhe ownei er fhis properly fo peAnrrn Ihe <br />� work Ior which applrcefion Is rrrade nnd I comply wdh the Sfafe Conf�nafors Law- 18 27 RCN� and <br />�I 296 200 WAC. -- <br />,._� �--- �, <br />, <br />_ � - _ � , ,�� <br />, � l` '--�_ _ ,� ' --- <br />_��--- — - ------- — _ <br />Siqnolun, / (70 e <br />F[E <br />