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�'P.�r-G7-2a14 IS50 �LECTE;-UTY <br />• <br />425 572 5799 F'.�1'el <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERET7 PERMIT SERVICES <br />320C CEDAR STREGT, EVERETT. WA 98201 <br />425•257-8810 - FAX 425-25i-8857 - wvnv.everettwa.org <br />,� ,3_a�� l'�-Q.,,dAve <br />PROJEC7 AUURESS <br />P�.•1 �r�r�: <br />�Sfe✓P�7"a�i�her <br />O�vner 1.taaAaCmss Gty Siaco2p Pnonc <br />Ten�nt <br />tae�l ROd'e.s <br />G;� <br />S�alo'Z�p Vho�e <br />�/eCfi'i�-L'dz, . //,�. /�9i�.t�d�r/� fdr. �,Pd _!i�'�P�' Gl�� 9���.5� <br />ciecmcai Contraetor !.ta i naaress cr.y s�a;e2o �rone <br />F c7- ii B� <br />Statc Llcense Numbei <br />Pmposod Use ol Bu.Id�rQ <br />Square Foolage pf res�denbai nrw construcbon, remodel or aCCiUon) <br />Number ol devites (If �ow vonage) <br />�'a, 000- � <br />( " °iiCe of Wark <br />GantaC Person (Plan Review) <br />UeSGfIpt�On OI WOfK l0 BC UOnC� /1�y[I(/ifi ���// �{'(��/ J(/ //G � /�u��l%,% <br />� _' <br />G17Y OF EVERETT LOCAL SALES TN( COUL IS 310ti <br />1 hereby ccrfily thut 1 have road and eram�nod (h�9 �pNIiCaGon end know Ihe same fo br frue end <br />correc+. Afl pro�isions ellaws and ordmances ,qovemir,g fhis 7n�c olwork wdl bu complefed <br />whoiher spealmd herein ornot The grnnfing ola nemrd does nof prusump to grve aufRonty to <br />v�O1dtC O�CdOCBI thc prDwsions nl nny olhersfatc o� �oc�l /aw rugulahng construtLon orihe <br />peGormnntc olconshuc��on. Thal l am auP�onsod Dy 7bo ownoi o/fh�s properiy to pedomrlhc <br />work !or which npp6cJ6pn Is mad6 �nd 1 complY a�dh the Stofe Cenfractars caw t8 27 HCW and <br />296.200 VI�AC. <br />✓/ <br />a[v,s:� : a•. •� <br />fEE � <br />roa 5 0 __J <br />PERMITf� <br />E ( �D� - 02�- <br />TOTqL F.C�tl <br />