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_— �. , n �,zr�a__- 1 ' "" . �,. � �. I� ,_' . .. . .� <br /> `ic . � I. Ii�li L � b:iflrl �iLfi�: . .�:U ' I � y . r . �1�i. i ��� <br /> I^ I <br /> ELECT�CAL PERMIT APP�ICATION � <br /> I CITY OF EVERETT PERMIT SERVICES I <br /> , 3200 CEDAR STREET, EVERETT WA 9�2Q1 <br /> ; A25-257-8810 - FfJC425-257-8857 -vn�nv.evereth•:aorg <br /> i <br /> , �, , � 5o3 -D1� I <br /> �, ''- %i /' i � �-c- /�C �$� I <br /> 1 / / '� �� l--L� } l ! ��� r ' -T 11 I <br /> � ,—`. �� LI ��� I �Ifl'%t ��,�'-^-/ � 3_ � Q-ts <br /> � PROJECTADDRESS I <br /> � <br /> � <br /> I, Or.ne! fdailA;aress City S:a;crZip ���^ _ P�o�e , <br /> I �r j��L:,,.;`�I.,- !:�,��,-;%ii� � �;-+ �` ' �"' -_-, c - ��-. <br /> �, ; J � � „^�..� � ` r � �� , -i <br /> � Tenart "� l.tel!Addmss -� CR; StataZp ?nacc� �i <br /> ��� <br /> �r1��ol �lici�iG o?n?� ( �r�rn,c`�,�Sf -(�iiPrn�= �1� �8'Z(� 1 ZSX-3�55 ', <br /> i EleGtr.Cal ContraCtor , h'aii Fddress Ci,y Sta;e2ip Pcc^e � <br /> �� � j -1 <br /> Sc�N �r����fBD� i �� �; � ; <br /> � <br /> � State L,cense NurnDer (requ��rna) . City of Everett Bwiness License h:umber(requircd) � <br /> ` � � � �-q <br /> i ������ E�'�,ii^l�� ! ��.�i ! l1 '�.^I � � �`F�°VL;� ��� 1 1 <br /> � Proposzd Use of uttding ,J / Ccntra.r,Pnce ct lvori � <br /> II `— � ZS��, / � d J 1 ` � <br /> Squ9re Footape(if residenUai new consWction, remedei or adtli;ior) Contad Pe en Coniact Number/Email I <br /> i � � I <br /> Nu:nber o(device5 Qf Iow voltage) i <br /> ( � � i � iJ <br /> � Descnpllon of Work to 6e Done: � _� � ��� �����' � ���� Y�' .1.!���! ��% <br /> .� � <br /> � I <br /> � F�r <br /> � CITY OF EVEREI�i I.00AL SALES TAX CO�E I5 3105 I S(N <br /> � I hcreDy cenily thaf�b:,vc resd end examined thls epp'icaGon and kno�vlhe same to De tiue and _ ___ � <br /> �Ic�nect All pro��+srons ol i�vis and ordinorccs govem:ng fhis h�pe ol:iork�nll be campleled <br /> �vhe�her specifietl herein o�nof. Tho granting e/a permit docs not presumc fo give aufhorty lo PERh1IT:. <br /> viulale or cancel the piovi;ions ol any othor sfate orlocal lav�regulof�ng constro:tro,�or!he <br /> porJormar,ce of construction. That 1 am aut�onzed by th,e owner o�lhis property to perfo�*n thc E g � 5�3� Q � � <br /> iwc��lor which opplie.�fion rs made eno!eompty�ei;h th,� Stato GonLaCtorS La:: 78.27 RCW and _ ��. <br /> 29610 INAC. �F1.�/""�'�` � <br /> �i � / <br /> I '' �`' �%, ' ? . <br /> Syna;ur� -•' r0ate I <br /> � <br /> r�icc-a�s;=" I <br /> ._. <br /> ---- .._- ---- ' -------- -- <br />