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� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FNC 925-257-8857—www.everettwa.org i,_ as-�3 <br /> APPLICATIONS ARE ACCEpTED FROM 8 AM TO 4 PM G J 3/�"��� <br /> 88�.� �"^M�A�r.� ��C� <br /> PROJECT ADDRESS <br /> �3�tr��r gg-�� �nz-v-��I �.. �.���� (.�.�, �B zo � ��<-��� - f4`�9 <br /> Ownof � MailAddress Clty Stule2ip Phone <br /> ��V <br /> Tanant Mail Address ciry StatGzio Phonc <br /> -�op E�"u�l.c. �aeY� lo�3 �o`�h-��-�- wA 9bbW '-�z-S-`Fs5• StcB <br /> Electricel ContreCto� Moil Adifreo� Ciry Slale?.Ip Phonc <br /> �d f��L.aP8f3 �3'-S � �� �Z � <br /> SWte Llc_nse Number ' Coniract Prico of Woik <br /> �5�-�-- �-��u <br /> Proposod Use of Building Contnd Person (Plnn Reviewj <br /> Squnre Footage pf rosidonlial new canstruction, femodel nr additian) <br /> Dascription of Work to �e Done: �1y.�W_:�����T "ry ��-'a'� _ �'�� � Ma'��r7'.r'i�r�`�-G W- <br /> � L�U>JIJG"7+L1.0..� 'Y'o �C�� - '�,___.-------�--- �'---_ -" <br /> '1 <br /> NUTE: VNRING IN NON-DWFI.I.INGS IS RF(2UIRED'f0 �� <br /> 136 IN RACEWAYS, MC OR AC CADLG . �� <br /> . � <br /> CI7Y OF GVLRGTT I.00AL SALES TAX CODE IS 9105 -- -- ------ <br /> I ha26y ceRlfy thof 1 heve road r+nA examinod H�is aPF?licahon ond know ihe same lo be tn�e and <br /> corror,t. AN pro�rsions ollaws nnrf ordinances goveming lhrs typo of work wdl Go,compfefe� � ��� �'^,--- <br /> wheihnr spor.ifiod h��ruln or.ioL !hc pran�lnp ol o permit does nofp wsume to groo autHonty to I � •j'� <br /> vioiafo orcancef thc provislons ol ony othr.rntnfc nrlocollpw mgulofing cOnsfrt�cfion nr fhr <br /> peAomiance olcons(n�ct/on. 7hot I em out/rorhr.d Gy thr. nKmerol fhispmpr.iry tn pedorm fhe <br /> �vodc forwhich applicedion is mnde end I r.ornply�vltb fhe St�te Controctors Latv 1 t7.T_7 RCW nnd <br /> zsa•r.ao wnc. <br /> '� _ ���� - 3 <br /> ---- --nalur� Uale/ ' � s / <br />