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L /� 1 u <br />r'.1�.���. ��/11� �:�.YJ�1��� ��i�(I� I�.��i�1�il[G <br />P�...r:,�sr_ c�-u_ �;�.��: ���- (��25)��s_�,zz�r x �zr.L <br />.inn� <br />`il', iJ�i.. .. <br />T� P/�nG�.ii L�4 D l7` <br />L✓�2D (����/Y�rl� rtl� <br />�LECTRICAL P��N911 APPLICATION ����f�F,�«< <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR�E?, EVERETT, WA 95201 <br />425-257-SP•10 - F.4X 425-257-8857—www.everettwa.org <br />ApPLICA7�ONS AR'0 ACCEPT�_D FROM 8 AM TO 4 PM <br />14o"L S� �'��� n.c7-�- J�9ri�(� ���-�____—.� <br />PROJECT ADURI=SS <br />`�i�'��C�' <br />AT�✓uui� <br />a --aa -�3 <br />C-�3oa-.�3� <br />��"f(�•�i>!�'��,1 /`� vhrnFar,�4� �2o€�e.R_9 L,� I`�(�,n J,>r.i I�hr'Gvhriai,�TC �°� Z2vinl��� <br />Owne� Mnll Addreux Cily Stsle/Zip Ph nn <br />�i�e��2 <br />`7>�,.N-��vt r�� (_'.��-r {'r� �rnr��� <br />T0n2nl �• Pdnil Addresy Cily State2ip NI��i�A <br />�E.fl�T I�F:!',,�.��L:v�� kUC `1�3o ti���' I�U(�l�G ItF'.(i'rl•�i���L1�� F1 9�OS�' �4zS�1Sk`S• 2'-.N <br />EIBCUic21 CotllfaLtof Mail Address City SlalelLip f'Ihone <br />►'°irtL�•i r�i `1S1 rJ�1" <br />State License Number <br />�',/'-1 c `i' `l� <br />Proposed Use of Buildinc� <br />Square Footape pf residentiel new conslruclion, remodel or addilion) <br />❑escnption of Work lo f�s 17uno: <br />�: S Q. Oe, <br />,��` <br />Contr�d rico of Work <br />Con[act Person (Nlan Havicw) <br />� <br />'� <br />NOTG: WIRING IN NON-DWGLLINGS IS REQUIRED TO FEE <br />BE W f:ACCWNYS, MC OR AC CABLE. �'�Ci� <br />CITY OF EV[RETT LOCAL SALES TAX CODE IS 31D6 <br />I heraby ceAily tliat 1 hav� reac! and oxamirted flris aPP��ca!ion and know flio same fo be h�ie and ,r' { 7� (' 2— ��� <br />correcf. All prqwsluns olle�vs and ordin:mr.r.s govr.m�nr7 tliis typr. nt �vndt a�i(1 bo con7p/ofec! �— <br />wNe(Her speciliecf herein oi.nul. 7he granffnu o( a pe�ridf Joes not resurnc fn givr. auU�ority tn <br />violatoorc�v�celthe �rovisionsotanyotl�arstateorlocalia�v�equP6n�construc6onorlhe <br />pnrlormanm of cnns�rur.linn, That I an7 aufltoiizod by the ownei Ot fhis property t0 pwfonn the <br />worh lpr whlch applicafion fs nrndr. and 1 r.nmpty �vith fhr. Sfafr. Confracfors Law 18.27 RCW and <br />