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- _ .. . �_ . � �. . " � - _� � _ . _ . -� � , - ._ L:_-._.- . ._ , �_. ._ - � <br /> � <br /> ELE�TRICA�. PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICEB <br /> 3200 CEDAR STREET, EVERETT, WA 98207 <br /> 425-257-BEt10 - F�X 425-257-8857—v�n•✓�v.evereltwa.org <br /> I APPLICATIONS ARE ACCEPTED F�OM 8 AM '(O 4 PM � -1a�13 <br /> L-� 3�, -0b°� <br /> ����Ssz-�- f�,,n' <br /> PRo�ecrnooREss <br /> �1LU1�—��L�,n `�Qrvie 0.J a� tie� 2b� — I I�` �� g <br /> ovmer M1tail Adnress ciry statcrzip °nc <br /> TCOanI h1ail Address Gty StalelZip P�en¢ <br /> �o-f l�nno �IPc- ,«L(;,a�c�ns I�i3 � 5 L%.3,z1�I ��s /�-„ti. � � � 9v �'y <br /> EledfiCAl CDOIfBGIOf �.1011 AtltlrCss �' rily St��e2ip Phone <br /> zs.� �3y7- �Z <br /> ���y L� �)� � cZ o o . w <br /> Sla e Lieense Number Contract Pnce of Work <br /> �C 5 I��Gn�l u � �L„ �1�c �14i'1 2 l��P — 7 �� - �j <br /> Proposed Usa of Quilding Cuntac� erse� (Plan Review) <br /> Squore Footage Qf resitlontipl new conslruction, ramodel or addition) <br /> Description of Work to�e Done C_�G Ou� 2�� �' S��� <br /> ��,�� �� l I �j/�' � o�P- > y � - 78�; 3 G.�G.e.� � � <br /> - �,p� <br /> _V_T n�,c�fi n..,( �/ � f_,_��r� <br /> NOTE WIRING IN NON-DWELLINGS IS REQIIIRED TO ' FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. ,�_ ,`�� <br /> l �� <br /> CITY OF EVERCTT LOCAL SAL[S TAX COCE IS 3105 <br /> � i 1 hereby ceRlly thaf I have rend and ezamined this npplication ond kno�v the same:o be We end � - �� <br /> correcf. All provisions of la�vs znd oidinonces gove�qipg this typo o!tw�k will de completed ;� � 3Cl � _rl� <br /> whelher speci(�d ha�ein or noL The grnpfi0g o/a pennrt Uuos nof rosumc to give aul,yonty to �-- „ ✓ ��� <br /> vio/atoorcenceflhe rovisionso/anvotheistateor/ocallawraguP��ngronstnict�orrorBie <br /> portormance o�ccnsPn,c(ion. Thot 1 am authorized by fhe ownero(thrs propeRy to pc�fom�fbe <br /> work lvr which o�pOca(ion is made and!comply wifh fhe S�a�e Controcfo�s Law. 78.27 RCW ond <br /> 296.200 WAC <br /> Z �//� /3 <br /> �yi, utu u � �ate .. <br /> / <br /> / <br />