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O1/3N/2(707 16:56 20695'F2E7 CUMPVIEW PA�E 02 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERET?, WA 90201 <br /> 425-257-8810 - FAX 428-257-�857 –www.everetiwa.org L' O 70/ --1�r <br /> APPLICATIONS ARE ACC[PTED FROM 8 AM TO 4 PM � �3 1 – D 7 <br /> 3�o,� t�, , �s��.v R�l�, ,E✓��,�u'�l 9&.�oy Bldy y�-a�i, siu l/ iel <br /> pROJEC7 ADDRESS <br /> U�v��Tt, NU ���X3�a�7 SW�HIe.jld/1 �'SizY y�S• 93/ • 3��3 <br /> Owner Mell Addrors Clly ^ SIa1a21p P�ene <br /> .c?i����,y C�, /'o box 37e � C'�.,.J9`��� Gt/Cl �IB/i`� yz�. �t3i - �7�3 <br /> Tenant Mxll AdJiess Ciry S�aie2lp Pnone <br /> -�n� <br /> COiN F�IIi cR u/ /1/p 2T �n�/7,[t^�u.e �I�..s. /GC�'-tv, ��� 4�'/G•� y�9'G��ciZ <br /> EIpC1HC81 Ontf9Ctor Mnll Rdtlnss Clly Slele/Zlp Phone <br /> C fJDLI/�✓✓�'�� G� <br /> Slate Lior.nee Numbr r CoMract Priee of Wark <br /> /77 t-2��!�t!' Y-y'D�'Y! �I dr3. �GY�Ml...k _�, <br /> Proposed Use ol B� dinp ' Contact Porson (Plan Revlew) <br /> . �/ 1 � <br /> Description of Work to Pa Dune: / 11,5'/�J�I �OW lJ L+� 7 �K9� (.�ll�/u �' U/,1 �!� <br /> ����'�'���'n � — <br /> NOTE: WIRING IN NUN-DWCLLINGS IS RE(]UIRED TO FEE �;3� �� <br /> BE IN 17ACGWAYS, MC OR nC Cl�BLE. <br /> CITY OF @VCR[TT LOCAL sALES TNC COpE IS�105 <br /> 1 hereby cxrt�ly rnuf!have med and axnm�nod flris anPr�cat�vn.no kaow the some ro M hue and <br /> r.nr,�,cf All prvvis�ons ol lex�s errcl ortlinanrns gowmm,y fhis typc ol KnAr will bn cnmplefod <br /> wnu(her specffied hernin or rn�L ihn grantrnp ol e pemrd Ooes not vxsume fo g�ve oufhorily fo <br /> violafe o�cOnCel flre Provisions o/6ny olh¢f bfatP.of locef law reyuj tin,y tO�lsfNtUon or(ha <br /> peAeonnn�e of�:onstrucUon. 7bef 1 em euthonzed by the owner of fhls propeRl'to pe�lorm fhe <br /> �rcrk F,,r wlncn appllratlon Is meCe nntll mmpty wifh fhe Stete Cantrecfas Law 78.27 RCW ond <br /> 2sr.•ruo wnG. <br /> _____���l��/l�(�GLfil�� — I :9C� O' _ <br /> ol na�rt1 ' - Dnte <br /> ��� -I$Q <br />