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C��i.J00Y/002 <br /> OC:�::U,-"L011 ] 1 :5-0 P:1% <br /> 5 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, �NA 98201 <br /> 425•257-8810 - FAX 425-257-8857—www•everettwa.org <br /> APPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM <br /> � ��,.,a C0�6`f Fl-�/E`, L 1eYUECr <br /> PROJECT ADDRESS <br /> �n�+Prcc- n�-'�-1 # u+^� �"`u'� �J R 't 8 Sa9 3�o.?a_`t't <br /> c.Qnna tNvestr+�+�t5 u-c t'� Ba� 5a�-�- t.Rt.�`-i - P�� <br /> Owner <br /> Mei�Atldress Ciry St�U/ZIP <br /> v�Y Clty St�INLP P�°^' <br /> Tenent MWI Addrces <br /> �ftGLE �l�R-ttu.�- oF'PNBu¢��.. ?� 14'i.�- ���' u1$ 'lgo�f 1�'3. 833.99.30 <br /> C�ry Sntamp �10f° <br /> Electricel COntrBCtof MBII Atltlree_ <br /> ��-�,�eR 4 i � �.� � 3S� <br /> CoMract Pdce ot Work <br /> Stele Ucense Numt7ef <br /> LanA �Tjt�Gr w �� ��� <br /> �JINGI.G �ontactPerson (PlanHeview) <br /> Proposed Use ol Bullding <br /> Zo21 SG <br /> Squere Footege(II resldentlal new conaWct�on,remotlel or atltlltlon) <br /> e,ne n.ti AJD QIJ+� Ot)C(.t�CS � Ll.kht'f'l IVL, <br /> Daurlptbn ol Work to Be Dona: � <br /> �,2 �o Roa+�n.s srz►N ti n�v.�e.ro n.h�l� � w,r•rL��✓r_ — <br /> ��1 Nr9�G� i3ztea AflOtsU. <br /> NOTE: WIRINQ IN NON-DWELLINQS IS REOUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. � �jC1 I <br /> � <br /> CRY OF L"VERETT LOCAL SALES TAX CODE IS 3106 <br /> 1 hereby cenily fha(f heve reed end examined thls applicalron end know fhe same(o be t�ue and /� <br /> canect All provisians ol lews and ordlnances 8oveming fhls type of work will be_complafe� �",�.�� � J7L%,,�� '�L' <br /> whelher specltled hareln or nof. 7he grentinp ol a permd does not resume to 0��aufharl fo �:� <br /> vrolafe or cancol fhe proNslons o/eny other atete or bcel!ew repuPting construction or the <br /> pedormance of cangtruchon. Thet I am eu�hodzed by the owner o!tAis property fo perfpnn the <br /> 2�g8�.200 WAC�a��catron Is mede and 1 co.Tpty wllh tho Sfam Contrncfors Law 7827 FaCW nnd <br /> � 2. Z�O � <br /> iqna ura 1° 7J26/13 I I:I6 A <br /> lu(1 <br />