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hiar. 4, 2014 1 : 19Ph1 1'0. 0&90 F. ' <br /> • � <br /> ELECTRICAL PERMIT APPLICATIOIV <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE7, EVERETT, WA 98201 �_ S—)�{ <br /> 425-257•8910 - FAX 425-257-8857–�wnv.ovorottwa.org G �u D3_��3 <br /> 1a.00 MeJ"r'�I � �.'re� �ark�0.0 ,_�����' W A a�2�-c�3 <br /> PROJECT ADDRESS i <br /> S�ock�i�1- ��p laoo Merr; ii c�,� u �,� �er�a+ , w� �gao.� � <br /> Owner tdall Atl�ress Cly SlalelZ�p Phono <br /> SQ✓1',e, <br /> T0�J�1 h1.311Atldress City 5�'e'C���aa- oh�Sa <br /> Er,-�rar,ee �.<1�-nlS 702� Z-,d�.Si�-�n �.-i�e i'�'�. ki�i �4 rWA 1�Ig�S <br /> EIOCtrital CqnUaclor ldall Addrnss Clty StaLeJ2ip P1ia�e <br /> �tJTP�4L�'.q33az � aa,�a�.� � <br /> Stata lJcens�Numbv Contract Pdce of Work <br /> D t c)C '��-t-r i c� <br /> Proposed Use of 6uildinp Contacl Parsoc (P�an Rovlow) I <br /> Squere Foolage Qf rosidontial new constructwn,remodel or addition) � <br /> /9 �i <br /> Number of devices(I(low volle(�e) I <br /> DescriDllon of Work ro Bc Donc: ���0�� 1M�,�-0.��a��Ov� �-t �q„�� �f�l-�c�� <br /> L'ICCGrj���-4Y'n� QV� CArn� `"�Ad��—.�-C�a.�-1 �-�1 . <br /> FEE <br /> CliY OF C-V[R[TT LOCAL SAL[S TFU(COD[IS J105 �( �D <br /> l hereby ceriify fhat 1 havo read and oxaminad fhis applica�ion anAknow!hv samu to bo truo anA <br /> conoct. /111 provision5 ollaws ond ordinaneos goveming lbis fype ol u�orN wil(Le complefed <br /> whofho�spucilled hercin or nof. 1be grsnling o/a pomi!(does not p�osurne fo glve aufhohty lo PERMiT# <br /> vlolafe orcancel lho provislons o�ony o(he�sfofe oriocaf feu�rogulafiny constnafion orthe ^ <br /> pedamence o/consfnrcfion. That I am authonmd Ay thv owner ol this proporty to podomr fho C /. I �.O� � D/ <br /> waN lor which�pPlication is myde and I comply wlfh thc Sfs1c Contr�clors Law 18.27 RCIN snd r/ <br /> 296.200 Wi1 C. <br /> �.�� 3I � � I� � <br /> Si nalure Date <br /> a�,5��„ � i���. �,- ao o� (��a-- ���sa �� <br /> C Y ecl,i� c'a��d Qct.uJ w�r�,�-� <br />