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� -- — — ---� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT, WA 98201 . <br /> 425-257-8810 - FAX425-257-8857-www.evereltwa.org /J�a3_�3 <br /> .7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM :J 4 PM L�3a y-�55 <br /> 1825 groudway �EYGve�4� Wlr. qg�o� <br /> PROJECT ADDRESS <br /> Ovmer MailAddress 1�,,,, Cily Stale/Zlp P�cne <br /> . �ul�L�-MI ��g77'27.7" <br /> s3a�kll bw.�s ��c, 4�2S Dclvid�Wa.� SW Scak��e 'V�4�R�lDlO q35S <br /> Tenanl v Mail Address Cily Slale/ZID Phonr <br /> Pea�a.M4N� 47�-Z51 - <br /> Mecua+t�ht.eeouP �012 GeN�va( �c, S ��Jr WA-' °I�a32 �3Slv <br /> Glecincal Gontrnctor ldailAddress Clty SIale2ip 7noce <br /> PE�r-6r1Aoo5�S �tl� �W �,�T�Uc <br /> S�ate License Number I Contrect Pdca of Work <br /> �C'�ili�j f�6 G�NAc. �'n C��51�M� USrL� �41 llLlN� �Cth V`i���t <br /> Praposed Use o1 Buildinp u d Q Conlad Person (Plan Review) <br /> N�A- <br /> Square Footago(If tesldontial new constructlon,remodel or oddition) <br /> �escrip�ionotworktoBeOone: �1�A� bV1�d�hqS �DNTybI UQqrA�� 01'1 Y(7���O���w �oLj�(�E� <br /> � �V I cc� <br /> i <br /> I <br /> NOTE: WIRING IN NON-DWELLINGS IS REaUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. ,L <br /> ��= 50. o0 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hcrety cetlily lhaf I haee read ond esamir,ed fhls appiin3fion antl knovi Ihe samo to be tni9 and <br /> cerrect. All provisions n/laws and ortlinances guvem�ng this rypa olwo�k wlll be�omploted <br /> whcfher specilied hero r not The r�mn6ng ol a permil doos nol presume 10 give eufhority fo C (�[1�-� - I� s <br /> violateorr.nnr.n Iholv vi bnso/anyo�herslafeorlocallnwiegulahngconsfruc(ronorfha <br /> per'orm� O/icns� ctio . Thatlamauthorhedby(heownerolthispropoRylopedormtho <br /> anrk �I f a pUc �on i made and I cempfy�vifh the S(ofe Contracfors W w 78.27 RCN'and <br /> 29G. <br /> � �- �3 -�� <br /> >i naWm \ �nto <br /> _ __ _ _ J - -- - - - - -- -- -- ----- <br /> ti �F 3 <br /> �;oniaou�d a�i� ir�si c�oa�eaivo :Wo,� <br />