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Jan. 24. 241�_ ;: i4AN_Net�ersanf Solulions Yo. 1�40—P. 2 <br /> ELECTRICAL PERMIT APPLICATION <br /> - CI'1`Y-OF�V�RETT PERMI-T-SERVIC-E� — <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425•257-8857 —www.everettwa org <br /> �2d'_� (J C��t�D �c� , ����E`�\ �1 �a'� �,' h� '�--Cz' <br /> PROJECTADDRESS <br /> , � cmr,��N�t .���� E M+�'P���� �S ��=�gl <br /> OwnOf Mail AdOre C�ty Stete ZI ip � Phone <br /> .ItJU �'��� '�3 �iJ CtCS�YJD 'V�J ��vF.R:�T T+ 'A XC �'1�a.�'1 <br /> TenB01 Mad Address City Slete2ip P�one <br /> I��F R.�N�� In�,�--t-r-bo��v�s R� � �N� , �� °�� '�•�"�1- Ic� <br /> EICddCa�Conlrectof M�il Addrcss Clly�- SlelelLp Phone <br /> NF��FG,�'�O F, �. �, Oa0 . r� <br /> Slale License Number Conlracl Prlte of Work <br /> ��o MM�(LC.1�R� ��ai��=. ,Q. <br /> Proposad Ue0 0l�wlding Contacl erson (Plan Revlew� <br /> ,�,� o00 � �6 5�� - ��� <br /> Square Footage(II reeitlenllal new conslructien, remotlal m edd�llon) <br /> �� <br /> Number ol tlevlces(If low volleqe) <br /> DoscripUon ol Work lo Ae Oone 11�1��C�LL I�t—C�O� ���t/ C 1� �� �� <br /> ��a�ti S <br /> FEE <br /> CITY OF EVEREIT LOCAl9ALE9 TA%COpE IS 7106 �O �j\ <br /> V �J <br /> 1 Aere6y cenily Ihef I heve reed and exnmmed fhis applicafion end know fho same fo De true nnd <br /> coneet. All provisions ollaws e��d ordmances goveming this typo o!woM wi116e complefetl <br /> wheflrerspecl(ed horein ornoL The g�anlinp ol a permil does nof presume fo pNe authodty fo PERMIT!! <br /> violele or cancol fhC provisions ol any olher Slefe mlocal law reg�le(ing consWclian or(hs � ' , /O� _/�T <br /> parlo�mBnce o/conslrucfion. Tnaf I am eu(honzad 4y fhe owner ollh�s property fo pertorm fhe `f' V <br /> work for whlch applica6on Is metle and l comply with fhe Slafe Conhecfors Law 18?7 RCW and <br /> 2062 0 WAC <br /> ����' � <br /> nal r Dele <br /> R�hSlDY7dl] <br />