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' �� ��v �9, .���� ��,�- � <br /> ELECTRICAL PERMIT APPLICATlON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CE�AR STREET, EVERETT, WA 98201 <br /> 425-257-SB10 - FAX 425-257-E857 —wvrw.everefhr�a.org <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM -�EBIT & CREGIT CAFtDS ARE NOT ACCEPTE� <br /> JI la/D s�l� � ��`� <br /> IPROJECTADDRESS <br /> , �f�S "��S "�0 7�, <br /> � S � SJL-�.�-L /a-lO �v��f�vL �l-�'to�(. CtIQ� ��S z5`� :�b� <br /> Owner Mali Address City � Stat�ip Ph^_no <br /> Tenan[ Mail hidress Ciry Stas2ip Phone <br /> ���`�ce> �o-2p',zr-C� �r�c� �t,O ��S`�� 1g-Ytc�-�,..f�.��-us� t,tlfl `���z <br /> =ieclrical ConlraC!or Mail ACCress Ci:y Stale2F Fhone <br /> � 3 t�v ti,4�—yy3 8 <br /> �l���.�i o.-I 0�1 ���� .� <br /> State Licanse Number . Contrac:Price cf Work <br /> � � l�� <br /> ProposeC Use of Building Contact Person (Flan P.eview) <br /> � 7escrip�on ci VJork;o �e Dene: / �✓�wV'R- �`--�La"U ��� C-L�iiL^'r'-� �1.�'�`-'Z— <br /> I r <br /> �-�-IG. <br /> � � <br /> NOTE: `JVIRING IN f4CN-OWELLINGS IS REQUIRED TO PcE I I <br /> 6E IN RACEWAYS, ti�C OR AC CABLF. �� <br /> � l� ✓ <br /> CITY OF EVERET7 LOCAL SALES TFU COOE IS 3105 <br /> !h�raby ceRily;hat/have read and examined Ltiis appfication arc know Lhe some fo be tr�e ana �I 3 I O � G�v I <br /> . =z•eci. A+!p.�ovrsions o(laws and c�dii�ances govemm�fh�s f}•pe c!w.�rk wlfl b=ccmp!e!ed <br /> � nhelher specihed herein o�nct. The granring o;a permd does.�W presume t� oive aulh�nry to I <br /> �io!afe or canc�l the piovisions cf an}�olher:tate crloc217awregulattno r�rstrucuon er,'he <br /> ,.erc�manca u`construcGon. i haf 1 am authenzeC by tRs owner ol thrsp r�peRy to perlorm, the <br /> �•rod;�cr wMcr, application is�nace and 1 comp!y�t^ih the Stafe Ccntractars Lo::+a.27 5GV✓ana <br /> 255.200 WAC <br /> �' 'l:tt"._('_ (,L��,r 7'l6�^�� _ �Li � ��� <br /> S�qr�,�.lurr. C.:;e <br /> I <br /> ___'_ —_ - I, <br /> � d 4£?V6�9n��' eiyoi,� dEb�LU6l r,7,:�0 <br />