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11l26i2011 1�I:�J�3 2r1b5684117 <br />PAGE 0� <br />ELECTRICAL PERIVIIT APPL►CATIQN <br />CITY Q� EVERETT PERMIT SERVI%;ES <br />3200 C[DAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257•8857 — wv,rw.everettwa.org <br />APPLICATIONS ARE qCCEpTED �ROM 8 AM TO 4 PM <br />��3 E ��-P�, ���, �'� , �c; A <br />PROJECTADDRESS <br />n <br />��q ?......_ <br />Owner <br />'1= <br />Electrical Contractor <br />. � <br />�---�— <br />Ma�l Atldresg <br />2a�� -i <br />Mall Address <br />MailAdtlress 1 <br />��l(-TAiC � (on(71n, <br />S �e ucens2 rvUm62r <br />i�n <br />Proposed Use of Building <br />Osscriplion of Wor�c to Be Done; <br />NOTE: WIRING IN NON-DWELLINGS IS RE4UIREp 70 <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITv OF EVERETT LpCAL SALES 7AX cODE IS �105 <br />r hoie6y ceRi(y thaf l nave fg;,d and examined lhis applicatior <br />�hetherspeCified hersern o�rnoLnTha granf ng of o pe n9if doe. <br />diol?te orcancel tho rovislons olany o(hers;a(e oNocs: !aw <br />�enormanc9 ofconsPuctroh, th3t I am aulhorrzc�d by me owr <br />��ork lnr which appi�caf�n is,/�rado end ! comply u��;h t/ie Sfet� <br />�96.200 WAC. � � ' ' <br />%.,, . �� %/ � /. <br />Clty <br />Cily <br />Giry <br />�ow Iho <br />work w <br />'�� <br />SI�teJZip <br />���� <br />St3te2ip <br />�c� - ?Bk - <br />;<<i�i ��a( <br />3lale/Z�p <br />1�'ja•°� <br />Contract Pnce of Work <br />�f�r��s la�����nr,�e <br />Contacf Pe�son (Plen Revlew) <br />Phone <br />Phone <br />FEE <br />��; ��� <br />toa �i11�'_l�V I <br />and <br />