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� <br />�J <br />ELECT�iCAL PERMtT APP�ICA1"iC>N <br />�ITY C3F EVERET� FERMtT SEFtV1��S <br />3�£3{} ��[}�R STR��T', E1+`EREI?, t�ti�1 �82f31' <br />�P} 425-257-88ifi { FAX 425-�57-8857 � (E} �veretteps��v�reftwa.gov � vvv�rw.ev�re#tw�.govJ�errnits <br />� PftO.iECT StTE �1N���Mi�iT10N � � <br />Rrxo��c� �o�tEss: 3417 RflCKEFEL[..ER AVE <br />��BUILDING ARE�1 �i# �esidentia[, new constructia�, r�rnc3cteE, or additi+an} SF <br />BUtIDING TYPE; (�! SFR-DETAGNEO D SFR-ATTACHEfi � dUPIEX C� C+AUiTI-FAMILY -# Ct� UNiI"�: CI COtJIMERCIAL <br />usE o� �ui�a�Ns: RESIDENCE <br />ELEGTRICAL APPL�CATt�'!N INFURMATiOt+E <br />CONTRACfi PRICE OF WCkRK: � 5Q4 <br />NUMBEFt Ci� b�YiCES if fow vatta e: <br />FIRE AIARIM[? C} YE� 6�! NO <br />ASSOCIATED BUILDING PERlIdIT # if a icabfe _ <br />u�sc�ER�ic�� o� woR�c: WIRE FC?R ANC} H{)t�K UP AJC ANQ TANKLESS WATER HEATER <br />2 CIRGIIITS <br />AGREEts�lYT. # hereby certity lhai 1 haue read aruf examrr3ed tttrs a�ptreatri�r and krww ths s&trre t� be trus and carrect AX �rflvis�oma af t�ws and a'dinarrc�s gou+3�rrg th;s [Ype <br />oC wark wi� be tz�ry�teted wtrather speci!"t�ttf hetekt or nW. The �antirtg uf a�ermit doss +aof p�sura� [o give authcxity to viatafe a� cancei the �uavisiarrs at a�zy othar state or <br />tacat faw regutafrng eansbvrtion d the perhMmarxce of canstrziction. That 7 am suthpazed by tPte owra� af ihis property to per/arm the work tw whlch apptica#bn is made arrd t <br />�r �;m rrae srsre con��ro� i.aw ts.27 �zcw ar�nr zss, zao w�c. <br />� £�� �� �, �� � � <br />�=z��� �� � ��� <br />� � � <br />Ow�er! arized Agent Slgnatur�'� Date <br />C�ty taf Ev+ereif fJtfrci�l tJse Oniy <br />PERMtT # <br />� �c� c c �- oa z <br />jRevrsed 912 312 0 7 8) <br />