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EL�CTR�CAL PERMIT APPLICATIO�I <br /> CITY OF EVEEtETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-BB10 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ( 5 �5 �1ov+ � ve. �v�ra�{ � W�} QB �.O � <br /> PROJECT ADDRE <br /> C1 /� 11� I n /� ��a5 -asz <br /> �clve ��I /' ��7� �YOV� NvC. �+.CrLSr . N//�' '"L �i d�U� —C`{ �eal.Fi <br /> Ownaf MnillWdrea� Giy Slnln2ro Phonn � <br /> 1Cn00t Meil Mdreas City State�7ip Phone <br /> PVut�' �uw�d ��ur 5.3� I,aker A,�_ N�J S��{��L W f�- ��S�O7 <br /> Elaq ICon�lactof MellAddroae Ciry State/Zip ap�- 7UC —�chq°i <br /> 5 <br /> � �c-�i s s � a � �u- �� � � a <br /> Stala Licb(�sa Numbcr Contra� rlcc of Work <br /> � <br /> �^�v✓r-C. : .)e�r.vv�v w„'�-�.Su"� <br /> Propoeed Use of Eluilding Contact Pero (Plan Raviaw) <br /> DescnptionofWorktoFleDone� /-�.�Fc� GrCv� T� �J�- $Jlar .��G , �n� <br /> NOTE WIRING IN NON-D�NELLINGS IS R[OUIRED TO FEE <br /> a[ IN RACEWAYS, MC OR AC CA�LE. <br /> CITY OF EVERETT LOCA!3A�ES TAX CODE IS J106 <br /> I haroby cariily thaf I havo�ond and nxaminnrl lhis n�plicafion end know tho same!o ba hue nnd � � - <br /> cOm3d. All p�owsronS ollows anAOldinnncas goWmmy this ry(+o O/w(uit will be cPmplotOd "� �-� �\_� � ��� � <br /> wliytlrar spe�cd�od horoin or not. The granfiny ol n pormit dor.s nntP resume to givo uufhaity f0 <br /> iiolafa w can�rol the�rovisions or any other smm a lor.n!Inw r:�ulating conswction or the <br /> perlamar.cn o/cros rudion. R�af I em��uthaized Dy fha awnyr o1(his proporty to peAnrm the <br /> work!or whlth applicahon i ado and 1 oomply with fhn SfafB Conhac(ors Law 1827 RCW and <br /> 296200 wAC. <br /> / r���-ai -a��o <br /> < ome <br /> _�--� <br /> / <br /> 1i, �v+, ;,i'=�0= ut�ll"r�5 l�e��.�� ik6T5ivLaGZ, 84�01 GiO�.iLTit3i <br />