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l / � � . ��.. ` [ <br /> _ . . . ! . � . _�_ _-__ �_ �������-,-�_ V. _., <br /> � <br /> ELECTRICAL PERMIT APPLICATION � <br /> I' CITY OF EVERETT PERMIT SERVICES <br /> i <br /> ; 3200 CEDAR STREET, EVERETT, V✓i, 98201 <br /> 425•257-Eid10 - FAX 425-257•8857 —w��nv everethva org <br /> APPLICAI IONS ARE ACCEPTED FROM tl Atd 70 4 PM <br /> i <br /> � � �I�` �f � �� Q��.��` ' <br /> VKOJECT ADDRESS I <br /> � '�KoS v_-}'si 5 �v �� S �.�acz�/�- �� 5 2�5 2520I <br /> Ov:nur <br /> laau aadress Oiy S,a;erz u Fnc�e � <br /> htail PCare:s Cliy Stote2�o —.. rr,r.a <br /> 'or�n; I <br /> (� i�1 �_ � 19i5 gizaad��a C-�e�e��11�9��_...� �L;� z.�i U(��(� <br /> 1.'ad Ac�rees CA7 51e!le'I,? ��hcne <br /> F:eUrical Gcntrac;o� �/. <br /> C(11F,L.A1�I Nq01(_y�� - 2-� ------ � <br /> State L��eerse Nurr�Uer Cont�act Nr�ce o'�1'wM <br /> I — I <br /> i <br /> � ?ropo�ed Usu ot pu�id�ng � Ccntact P�rson ;P;an Hw�a:�! <br /> c,n I <br /> IDosaipt��encl\No�ktoE3o �cr.e'. ���___���� ` _ �� �'"� _ �Y--� <br /> � _ ��h� - l�li _"�,�.1���'`,`�� _� ��ts'�� <br /> I -------- i <br /> ---- �I <br /> ' �JOTE: 1�NIRING IN NON-DWELI WGS IS R[QUIRED 10 �E� � � I, <br /> UF IN f2ACEWAYS, MC Oft AC CAF3LE. 1-7�0�� <br /> JU <br /> i <br /> CITY OF EVHREIT LOCAL SALHS TAX COUE 151106 — <br /> 1 horob y ceRdy th;(I havo rvad and exem�nod fhis aFP��«�iun und know fho same to be fluo�nd ���I� O��} <br /> cnrmct All provisiun5 oflOws ond ad�nancos govurNn9 thiS lyp9 Of�sork will Gv Completetl '-i– <br /> whether spou'ietl hervrn or nOf The granhnp o!n permd tloe;not p�osumo to give eulhonty!0 1 i <br /> v�olato or cancol fh�provlsions ol any olhur stafn orlocoi�aw rogulafiny conslrucfmn or Iho <br /> porlormance o�cOnStrucllon. 7naf 1 am authonreU by fhe o�snor o/Ihis properiy fo perform tho <br /> u�wk loi�••h�ch uppllcntron a maAe anJ 1 cCmpiy�vi(h!ho Sta10 ConIrOGlors Law f8.27 F2CW snd <br /> 296100 N�AC . <br /> �'��-/�/�� (.�j[.��.�� n � � I I <br /> �Signetu�c //i� PB;� ' <br /> I � <br /> L�--- __ _ - ____ —_"_ . _ <br />