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Jul 'U 15 08:OSa Vickio � 3�914838 p,i <br /> --- — __� <br /> I <br /> ELE�:TRJCAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> ;,200 CEDAR STREET, EV[RETT, WA 98201 <br /> 425-257-8810 - FAX q25-257-8857 -,,�tivw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ���D`�S' <br /> ��so�-o63 <br /> � <br /> �Q� � o u-d- �A � � <br /> PR JECTADDRESS <br /> � <br /> + —I�� �e�N� � _ _ � <br /> IOlYnef �dail Adtlress ��—�r� <br /> Cily Slate2iP Fhonc <br /> TenaM fv7ail Atldmss — <br /> Crty Stala2iF Phono <br /> �Vt�C—P7 � X-�/'1� Oe n �' TU �)CS�K ��l��r ��/� �1,�lT <br /> EICCtncalCont�actor MailAtldmss Cny Slalo2ip Phonc <br /> �,t���r ���P�T--�d,C�. Tin r� �t'���� ��L�l-�f�'3� <br /> Stato License Number Conlracl Price o(Work <br /> —�A�_5--- <br /> I Proposed Use of�wlding Contact Person (Plan lievie;i) <br /> ��� <br /> Squ..:c Footagc Qf resideNial nevd construction, remodel or addilion) <br /> I fiescr�plion ol V'Jork lo Be Done� ' � ����'J „ „ u�—� L /��f_ <br /> � f t11Jd7 C17 <S',�— <br /> -_ `�1,:'1_t A � . ��c � �����/��tG����,,/,,'�-`,-Q� <br /> —_1/1'�,�R ILJ �— __'--_.—._. —_ ___-- I% �---_ <br /> NOI E: WIRING IN NON-UVUELLINGS IS REQUIRED TO ��� - - - - <br /> BE IN R�CEINAYS, MC OR AC CA�LE . �O <br /> CITY OF EVERETT LOCAL 5/�LES 'fAX COUG IS 3105 ��OJ <br /> f hereby certdy(hol I 7ravo road und exmninod(his npp6cafion.nd knor+(he:ame!o be lrun and 1/��1 /�p/n <br /> cvnecf All provisions ol laws end oNinnnccs govoming7hrs fype ol work tvill be completed � I S v�/vW � <br /> �vho7hcrspeCJi�d hcrein orno(. The gianling ol�pd�mif doos no( )R�sume!o give auUronly fo <br /> violato or cemce/(hn prov�sions o/qny o(hc�slate orloc.il/aw regu�aGng construClion or(ho <br /> �orklor�yj�oof o�'(lrt��lnon.�7hQ�an�leomp!y��l�lheSfol�Gon(it�i�clors�Lo�v78.27RC�Nlae�J � <br /> zsc.zoo wnc. <br /> —_ ��. lJu cQ.,-,�.,,`, <br /> —si�nawr� oaio — <br />