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� <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CiTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVFRETT, WA 98201 <br />425-257-9810 - FlVC425-257-8857 —twtiv�.everettv✓a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />I J 7 ZS �k-i+.� � C'TL '4v�' <br />I PROJECTADDRESS <br />�F+�r`,5 c1J�✓T".�clJ.� 7..�7-Z-5 77�Q.rItLs'R._�_��'7r /.-J4 gd�,- - <br />CWnef L78�.iACdte55 C!^� , . SlateQip Phone <br />Ter,ant <br />�Aall Addr9; s <br />C�ry <br />Sat2'p <br />Phone <br />�op ��,ecc_. r`1-o€�u /�o'S 3_�=� L�c.�4 �7'Ba�� r�zi-��S—Si�B <br />Fledntal Contraclo� P:inll ACtlrcss . _ ... C_ry . .. . S_�IdZD _ Phonu <br />pyPc'�P8�31S5 <br />Sale Licensr. P:mnher ' <br />��� - -r�yx � �—e,. �. � ,. <br />Pwpose`U�Use o(Buildlna <br />SQuaie Foote�e p( re6ltlentiul new constructlon, ramodel or adddion) <br />600 — _ _ ; <br />Ccn'md Pnu: of Wbrk ;� <br />L:cri"'c-'�.._c "- � '4;-L'J" ' <br />Conlact Per;on (Plon Reviewj I <br />Coccnplion of :Vork lo Hc Done: .�V�"7�'��a, '"�ri.� �c-'�.�(lr'� <br />NOTE: V'lIR�NG IN NON•DWELLINGS IS FEQUIRED TO <br />6E IN RACEWAYS, MC OR AC CA6LF. <br />CITY OI' EVERETT LOCAL SALES 7AX CO�[ IS 3106 <br />1 he�eb}� cerfiYy thnt I have reaa and oxamrned this aPPlicahon antl know 7he same ro be we or,d <br />conset. A/l prowsions of faws and orJrrronct�s Qovemnay fhrs fypo o( wod< eti�ll b� comp!eted <br />�vhethr.r spec�fietl herein o� no[ 7he r�ronfrng of a permit tlocs not�rosume to giva authonty to <br />violate orcance! the provlslona ef eny other state orlocal �s�v re�u e!tng cnnstructron or;he <br />pertnrmanr.e ol construr.Gon. 7hat 1 am authoni�d hy U�a oumer oltitls prvporty to par�orm thc <br />xrork for which appllcntion ic mode end I ccmply �vith the Stete Ccnfrec(ors La�v 18.27 RCIN and <br />29J.200 WAC. <br />FEE � <br />�D °a _� <br />Er�o�-�6g <br />