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'�S/i4/2G12 G%:25 .�35y<56:5 i+9EB?CG::Si'r6�CTI"vNl pi�.:: F . _ __ ..� <br /> ELECTRICAL RERMIT APPLICATION <br /> CITY O� EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVkRETT, W�98201 <br /> 42r257-S3810 - FAX 425-257-8B57 -www.evereMva.org <br /> � � /3 —� Z i <br /> APPUCATIONS/1RE ACCEPTED FROM 8 AM TO 4 PM ,,, <br /> C�20�.-d6 Z' i <br /> y3zo f�CbyA,�P, �ve�a_t-r v�lA- �t�Zo3 <br /> PROJECTl�DDRESS <br /> �, -7'r� �oe �328 ZtS�'ST sc�, ��,„o�� �,1�l� `��o?� 206•35�-ioz� l <br /> ONne� I.tailAddress Gry S'1atrJLp PtvjnC <br /> . . - - -' - � ��iir:c : . . . . <br /> Tenant M.a�f Pddtcss Gty SL�IJ2ip f�tmrr; <br /> 503-�f4Z'Zg$$ <br /> /��e51"��nsT�r,m., GLC,I(,63os�L�u.,n� l►��,,��(Lr«rN� 02 R?�36 � <br /> Eieancal Co-M/raqor u.aa naaress Gry State.zp Nr,orm <br /> S�G' �f�o7� ��c,t-��t� bQ,�O� <br /> �2I� B�"s��aFq33B'�Z ----- <br /> Satc Liutnse Numbcr Contrct Pnaa o`vJcrk <br /> n <br /> Kent4.( <br /> Propo:za Use ot suuaing . ConlaC,Per;on (Plan Review) <br /> NA <br /> Syuare Footape pi residenlial new conshuctlon,remafel or adddion) <br /> Desrnptlon of Work to Bc Done: �n_Pp5?e��5_�y_���.(, t{. �}�. �P Clf�° � �K¢ncv�L <br /> dru9 Lub deCu.�'+oim�na4zon Cpn'rrc.C7or. Lve W�LI�{oe f'�Mov�+�g 4ll Cc.b�ne+5. <br /> S�rt c,�a�. � f-Nrc�S , R.� �Zrt�r S12cy��$ _S_(}� n [�'4ltoc�qn� <br /> wor�eC An anym�p Ti•at ts no-r o:C.�cev�sg'1 dru.9 �'6 l'[otirnn,Ma'hov� <br /> CD►1�c_�__ cLSub_�SnsT '�« N•x�i�o��tce�sal <br /> e\ec2T�caC CatZ*�uc.Yar . � W�.Is..- Ytot' Urr Pw�rt� batk o.r.'� �txi.��es. <br /> NOTE WIRING IN NON-DWFLUNGS IS REnUIR[D TO FEE <br /> HE IN fiACEWnYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALGS TAX COUE IS 3105 <br /> 1 hereby c�rtAy t7+at I hovc matl and examm.d tn�s apoi���bon anv know the c3me to b�tn.�a and G �2� —�g 2 <br /> wrrncf. A1/pruvis�ons o,'laws nnd oKlin3rrous govum;ng fh:s typ0 0l�vork q�l!6e Cumn'ef M <br /> N'he7hCI5pCUfi00 hpry'�n pfnOt. ThC BIDOtiOA Ol a pCrtivt tlOPs n0!piesume�o grve outhonrylo <br /> vpWte ur cnncel fhe proasrons o/any other slute or loc:l fnw myalntma cro��stracfion or fho <br /> perfom,ance olcron,t2id.•^o. That 1 am authonzed bylhe cv.nerollhisp rvpe�ry to per'omi 1he <br /> work lor which appli�Gon�s maCe ar,d I compN�s�th U,e State Con�adt�rs La�v 18 27 RCW and <br /> 296200 IN�G. <br /> /l <br /> _ � ,�-�_ � ��"�---- <br /> SgnaMe Date <br />