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- � � - ��;�rrr�. - ,ir <br />._. .. _..-"'" _' '_ .... <br />LI.EC7£.ICAI. AP - Ge[ PDFaspx <br />FP[ Seattle <br />f�:A I�ri�. :L-�`- -- <br />.�ccp: //�rw�v, everemv a. ore�G et_PDF. as px?p dfTD=3 5 <br />ELECi"I�ICAL PERtVIIT APPLICATION <br />CITY OF EVERET7 FERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wuw�.evere[bxaorp <br />� 1� 5� Cvere-�-� Ma i( wa�y �,� �-�� � <br />PR0.IECT ADDRESS <br />owner <br />Tenanl <br />��'� ��Li <br />Eleciricol COn�fatlol' <br />M1foil Address Cii�� <br />�� (�- iY�� �dC7l �1 �ov <br />htail Atld'Bss Crty <br />(�•(i• �X 12�,'�2 �{ <br />tdel Add'ass Crty <br />�.�;—.�.'� � �62.1 M � <br />Slate Llcnnse Numher <br />�,n, ���� a l i-; �!��i:t� I l ns�h� t�fi � <br />Proposed Use of 6ullding � <br />i �i 3� sy,�.ar� ��-��- <br />Square Foolago (Ifresldentlnl nswconstruclian, remodel or addltlonl <br />YJ <br />Nmnher of devites (If low Voltago) <br />Dascrlptlon of LVork to Be Done: <br />C1TY OF EVERE7T LOCAL $ALES TAX CODE i5 3105 <br />� <br />S:atelZip <br />l� �5�) Z <br />StatelZip <br />Phone <br />��y�� �� <br />Phone <br />S[�[elZip � Pncne <br />� 2, 3��-00 <br />Contrsct Pdce of WoiK <br />1��; Ua1���1�1 <br />Confad Person (Plon P.eview) <br />l�� <br />i nere�y certilylhot I have rt>aq and exArnrneU ifii� appficntion and kno�h'lhe same t0 be t�ue and <br />corcect. AU p(pvisions ollaws and o.xlinancos govarning ihiS type of ivork wilf be ccmplAt�d <br />whetHerapeclllad hQrein or noL Are UranPng o! s Vermit voes no; pmsume fo give au!lwdty fo <br />vrolato or cancof thc provisions of any othtrstato orlora: !nw regulntin�7 consfructron or tha <br />pDAoln:9nte o/ consfruction. That I a�l A�alhoRzed by Ule avtter a1 this propady (U podorm !he <br />wodc (nr �vhlch applica�ion rs made snd 1 r.anply with fhe StaR� Contrncfors La�v Ts27 RC4V and <br />2D6.2 AC. <br />/�,,.,� ��,�f� _ �i l 1 I � l� <br />REviSF.L J:1'f9 <br />FEE <br />; r �. S� <br />P��r�rx <br />E 13D 9 - ����� <br />� 0� � �ilS/?��� 9:�'i ii,� <br />