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ELECTRICAL PERMIT APPLICATION <br /> CITY uF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> �b_3o -�3 <br /> C- �3 ,o -�u6 <br /> _3003 �1. C4s,;,o �__�fL�L�— <br /> PROJECT ADDRESS <br /> -"'L�'�----_.—_.L��—U�.!_s�L� —�_✓c�..1� =�---------- <br /> Owner MaJAddrcs^, Ciry SleleRp Phonc <br /> �Tenanl MndAddmss C�ty Slate/Lp Phonc <br /> U�t�al�r9clor____—�7 M�feei�l..[�1 Adr N� J3ni�_ �rzIL��._ z�6' PhonC/�0 <br /> f�YTi�tLDISCH � 7, 73Z <br /> Sta�e Licen,e NumAer Cantrect Pnce of Work <br /> Proposed Usc of C3ulldinc� Contad Peison (Plan Review) ^ <br /> Square Foota�e(II rcsidenlial new conslniction,remodel or addltion) <br /> Nwnbe� of devlces (II low voltage) <br /> I Descnp�ion ol Wrnk to Re Dane In e tey/y_t�,.i T��_�v1�.Ist_../]L�kl���_�Mbp C•--- -- <br /> � <br /> ---- - �- 101� 4�£-2ler_yS-ZZJ_- --- --------- <br /> FFf — --- -- <br /> CITY OF EVFR[TT LOCAL SA1 FS TAR CODE IS 3705 � I /_ �U <br /> 1 homAy ccrtdy fhaf I havc rcod and exnrninr.Alhis npplir.nf�on and Mnow fhn sarne lo be ln�e anA _ ___``lf__ _._____ _ _ <br /> �orrrcf. All pruvislons ollaws nnA oR/in�ncns yovemmg Ihrs typo o/work wi0 be r.nmplrslr,d - ..----. _._--_-._ _. . _. . _ <br /> whr.lbnr spocdmd hemm or nof 7he gnntinr�ol n pnmrd Aues nuf prr.surnc lo give uufhonty fa PEfLMI I k <br /> vminln e�cancal fho prtiv�sions ol uny olhoi�fnfr, orlocallaw icyulahny ounslniUrun u�!hu � r., I r\ " � ` / <br /> pedunn;mcr u/consfnicliorr. Thof 1 nm aulhmm�d Ay Ihe owner af Ihis prupeRY<<�Vr.rlonrr fhr. � v �� (Q <br /> woiN!nr whiclr a{rplicnGon is mode nnA I compty wrfh fhr Sfnfc Canl�acfo�s Lxw 18 77 NCW onA <br /> 796.200WAC. ---- -._. .- ---------- <br /> -f�-.; <br /> _=-- �-.�— l0J�0�13 _ <br /> .^,ipnnl�rte _ __'___. . _ ..[1.atc _ _ . __ _ _. ._. <br /> HfV19lO.YX3'I1 <br />