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� <br />ELECTRICALPERMITAPPLICATION <br />CITYOFEVERETTPERMITSERVICES <br />3200CEDARSTREET,EVERETT,WA98201 <br />425-257-8810 -FAX425-257-8857—www.everettwa.org <br />APPLICATIONSAREACCEPTEDFROM8AMT04PM - DEBIT8�CREDITCARDSARENOTACCEPTED <br />,� � , -� � v,,.� �,I <br />� /'� �.! U � � � � `7 <br />PROJECTADDRESS <br />�/,�.�tiL � i�''.� r� ������� 2 v� � � � - � �.� , ���.�; �, �5,�,�Z��, r�� Y�' rL 2 zvL s �3- ->>c� � <br />Owner MailAddress City State/Zip Phone <br />����,v,� �'e2.��,v �� t��y'32�'�l'.s�- Ir�r�,'�� ��f ��� �/� S-- .�� y �� �y, <br />Tenant MailAddress City State/Zip Phone <br />/�a:���� �'�.�.� �',/�:��-�,� /9os-S� ��ks�ti��� .5��.� ��-r'd/�� � ���Zii� y6 <br />EIeCt�ICalContraCtor Mail Address City State/Zip Phone <br />-�1; c 2T hS� �36�� <br />StateLicenseNumber <br />�j� / `� `-V <br />ContractPriceofWork <br />�� 6^Z C'_ <br />Proposed Use of Building ContactPerson (Plan Review) <br />DescriptionofWorktoBeDone: ��C��t/'��7 LiNr�OFvd�r, ��/� — !it'.��j �l /.S!�d� ���GC-�O!"�uX��� <br />,- .- <br />�5�.� ;_��,�s !�i/oca�� g�Ki{ �ws- ��, �/u,.► %',� /,f_`i�S, !'e��s�ve ���s��ti��� <br />� , <br />(�CJ.�f e: � ,� e ;: ��/'j ! � ��;;.v f" � f �?�Z ��v„1 /n�� f `/,t /�.9/i�e,�J /i(J�GG �,—�-� �. f-f. `c:Ju�'V=YI�� C�a��s� <br />NOTE:WIRINGINNON-DWELLINGSISREQUIREDTO <br />BEINRACEWAYS,MCORACCABLE. <br />CITYOFEVERETTLOCA LSA LESTA XCODEIS3105 <br />Ihereb certifythatlhavereadandexaminedth isapplicationandknow thesametobetrueand <br />correc�Al/provisionsoflaw sandordinances governmgth�stypeofworkw illbecompleted <br />whetherspecifiedhereinornot. Thegrantingofapermitdoesnotpresumetogiveauthorityto <br />vio/ateorcanceltheprovisions ofanyotherstateorlocallawregulatingconstructionorthe <br />performanceofconstruction.T hatlamauthoriz edbytheownerof thispropertytoperformthe <br />workforwhichapplicationismadeandlcomply withtheStafeCont ractorsLaw18.27RCW and <br />296.200WAC. <br />�v• <br />ature <br />—��—�U �� <br />FEE <br />,---�- � _ _� i . <br />� � � <br />; ` i ��� � _� <br />; � _� <br />,._ <br />