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oeicsi2o�a oa ze ns2ae r ooiiooi <br /> ELECTRICAL ERMIT APPLICATION <br /> CITY OF EVE ETT PERMIT SERVICES <br /> 3200 CEDAR REET, EVFF2FTT, WA 98201 � <br /> 42b-2S7•ABtO - F 425-257-8857—www.ovcrettwa.org <br /> � ����5 .1� yZf <br /> PROJECT ADpRESS ��S a�9 <br /> �r�/c�r��- --p�2� se �►.a►+� n�� �F�,3 l��� <br /> er Meil ACdress City Stnlr./Tip Plp� <br /> � Ief18f1t Ma�l AMn�ss �� Gry SlnlelLp �� fYiom <br /> ��l��, sh.r /� �� �9 Z/�� <br /> ElecUicat Contractor Maii Aenrxu ciry Su�rlLp pnone <br /> F�i�'L��lI.S�� <br /> Slate L�cunso NumDor Conlrect Pnce of Work <br /> Propn.setl Use� Huiltling Cont��t Pcrson (plan Rehew) �I <br /> I I <br /> � <br /> Square Footage(It residxntial new amswd�on,remoqel atldroon) � I, <br /> Numtwrr of dev�eea pf low vottage) <br /> Descnpt�on of Wark to 8e pune /C. �t�� ��/��� <br /> I � ------ - _- - �-- �--� I <br /> CITY OF EVFRFTT I.00AL SALkS TA%CODC IS a106 I �E '�Y� �v <br /> I / � _�1 <br /> I nereny cunity Urat�nn�n r�a0 and nrnirunnn ih�s applira on an0 knoW fAo same fo Do hun nnrl � <br /> n��recf. All pmveyons nllaws and orAinxnc�s govort4ng 's type o1 wak Nip he complefetl -.. - <br /> w/re1Aer spor.ArrAliorern or not Thd yrenGnp nl a permJ n not prp,wmp fo Aive Oufhonty fn pF{�[ry � <br /> viwale or cancol Ow provrs�uns oJ any olhnr stxfe or locnll w ro9ulehng ronshucDon or fho ^ <br /> pnAormance o/consfn�cGon TOuf 1 em aUthOn7cd Ay tha wnorol tAis prpperty fo pnrlorm fhe t <br /> wodr for wA�ch npp6cnNnn is mode end I eemply wM Me to Conudqors Law 18 2!RCW and <br /> 296.200 WAC <br /> - sg,a�ure �-- - _ � � ��� 3 <br /> �e <br /> AfnSfD.Yvi] <br />