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� � <br /> - ----- <br /> -- -- - - - <br /> I I <br /> ELECTRICAL PERMIT APPLICATION <br /> I GlTY ()F �VFR�TT P�RMIT SERVICES � <br /> 3200 GEDAR STREET, EVFRE iT, `�VA 98201 I <br /> 425-257-8810 - FAX 425-257-8857 -:'r:.�'✓everettvaa org <br /> I <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � <br /> ' ��10 �IGI�I titm '�t�'� <br /> I <br /> PROJECT ADDRESS �Z�, ?��'(�O� �sJ <br /> I Tvvdt LUi��TL `�� (.�� i:�iw�:P �s�i� ���✓n9+li� �1�Z-�5 -7-- i <br /> � Owrer :7a�iACC�ess C�ly Stale2p P1one I <br /> 1 <br /> �� v���� ���,rr (��� ! <br /> Tenant t�a�t�C�ress Gty State/Lp �Z�^" � <br /> yk C� � ZS�Z-a`l;L,� <br /> � (7TL,au�� C�'-��IZ�C. i�c7 i�ox ZqCb �f3�G�!" �u SZ I � _ <br /> � � S:ate'7�p Phcrc <br /> E',edncai Contractor t�tad�doress ���1 <br /> G v u �, ,'� �'zg�Cc� � 7so°� I <br /> IState License Number . Con:ract Price o(VVork <br /> i Lt'V+t'Lii '�'p t.(,t:fi � I <br /> Proposed Use cf Butlding Contad Person (P�an Review) <br /> I <br /> i <br /> i Squate Foota�e Qf residenual new consducfion, remodel or adddion) <br /> i � � � , <br /> � Descnpt�on of VJork to Be Oone: li�_Li h-I'T i�L�[� �L�iZ,O �` �.DD LI iZL�.�� I <br /> i __ ------ <br /> i <br /> � - ---- ----- <br /> I NOTE=. WIRING IN NON-0WGLLINGS IS REQUIR[D TO FEE "" - - ` i 1 <br /> E3E IN RACEWAYS, MC OR AC Cl+OLF . �s o0 <br /> � CITY OF EVERETT LOGAL SALES TAX CODE IS 9105 -- -- -� ' <br /> �� 1 hereby certdy lhaf I have read anU examined Ihis app6cat�on and kno�r fhe same fo Ge frue and <br /> correct Ali provisrons oJ laivs and ordinances goveming this fype ol�a�ak �+�d;be complefed <br /> I' �vhefherspecdred herein ornoL The granting of a pe�md does nc!p resmne fo give authonty lo � <br /> I violate or cancel(he provisions o/any ofhe�stafe or local lar�mgufa.'�ng construchon or fhe <br /> peifemrance ol constnicfion. Thaf I am authenzed by fhe o��mer o/Lbs propeRy fo perform the <br /> �voric loi r+hich applicalion is made and I comply�;�ith fhe Slafe Con(rac(ors Law 18 27 RCW and F���� '� <br /> � 296200 WAC � <br /> � !!����GG���/ `� ---- /�/Z�/ � — � <br /> . _—_�_ S.gnatum —_—_. pile �� <br /> I <br />