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ELE�TF:ICAL PERNlIT APF'LIGATION <br /> CITY OF EVERETT PEF�MIT SERVICES <br /> 3200 CEDAR STREET, EVFRETT, WA 98201 <br /> 425-257-8810 - PAX 425-257-8857—www.everett�va.org �/ — o�� � �Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �(a--I� yl�l i <br /> � � �_� 1"���' � l �. - <br /> ��: <br /> , <br /> PROJECTADDRESS <br /> � � � \�-1 <br /> �'� tt �I �r��� �� �� �u'2� �1��� �� �� l,� <br /> Owner <br /> r (dailAddress C�ry SlatelLip Phone <br /> S N �»t <br /> T�mant MailAddress Ciry State/Zip Phone <br /> 1 I l71.f�'G.� laJ(�J 1L�(�l�l�}�L�C � RJ� ( ��� � �{�� Yl J-}' �V AJr'E���YiY /,L�� �" 1 U� .» <br /> MailAddress CAy SlalelZip Phane <br /> [lec`ricalConiractor Zp(� �'��l—(p$(S <br /> �Q' <br /> I�JCL���C_�L.<<L�'L3�. a'NC7L��C,S.CI`-1 L�2, ��� -- <br /> State License Num6er Coniract Price of Work <br /> 111'Yl UIJWF�j -.r->T�Ivp� <br /> �F � ����?J�! � Contacl Person (Plan Revie�•Q <br /> � Proposed Use of Building <br /> �i; L I ��'�'1" <br />- Square Foolage (If residential new c�nslruclion, remcdel or addition) <br /> I ����U N`s�i ��..►�� � �a�5 o'i r S ��d�;nc� l�➢u:� ZD r��n� <br /> I Description of Work lo Be Done: ('� <br /> I ' �l r n ' c- � �T6i ��C l ���La"lYl (� 2—"�Lt�l"ity�,� C'��� �'.1fC�, i�> 1'D-i'- <br /> , LF�'.I CLE.�'{� (�T � C a l�L i R <br /> i� ��e 'i ��-4-D1 11�Qb�YYL� )Yl��>��- �Wx ^O `"1 <br /> I �Z� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRCD TO FEE <br /> 13E IN RACEWAYS, h1C OR AC CABLE. �� �.-- <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I1 hero6y ceAily(hat I have read and examined this apP�ication and kno�v fhe same lo be frue ard <br /> conecL All provis�ons o//aws and crdrnances govemmg Ihis type���esume�t G�'va a Phod(y to <br /> I �,�,i;r.�herspea6ed hemin ornoL The granting o/a pemu(does nafp <br /> �„uA:te or cancel the provisions o/any afhers(ate orlocallaw regulating cons(n�cfwn orthe <br /> perlonnance oJc�onstivchon. Thaf 1 am authonzed by the o�vnero/Ihisp rope�ty fo peromi(he <br /> r.mk for�vhich pplica6on is made and I comply�•,ith fhe State ConVac(ors La�e 18.27 RCW and <br /> 9v 200WA� <br /> � � - �i� ,_ �Ilr< 1�,���-z���= — - - <br /> , <br />