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� LECTRICAL PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9820� I <br /> 425-257-8810 - FAX425-257-8857—�W,everethva.org <br /> �Z �-��--��( <br /> �1� � � � /2 -l)�� <br /> � <br /> 10 n , � l� t � > ., a � <br /> � PROJEC ADDRES : <br /> I <br /> Owner ' MalPdAmss <br /> � �� SlalelZp Phonc <br /> y�n�� � . .. ^ . 2 ; � �� <br /> , �_ �y�l fylt�^rt � rCr , ��k �., ,, <br /> 7enarrt � � ✓tr't. i (,�1 d.��.,�� <br /> I Mail�dtlmss Ciry ' <br /> Slate/2iP PhonC <br /> .L'nV\'� �n.�i�'b� 5 . � a' �STt.cI� LItL /:�S".i.LS a.�.�. �. <br /> EleCtriWlCortU'actof ' �����7r� �u/•� �.L1J� �)L"' <br /> tdailAddmss ��ry^ ---''-�-�—+ � '� <br /> Sla�cl7Jp Phone <br /> IN�,';i,;,5'7�4si 3 <br /> State License Number(r quired) _ <br /> i Ciry of EvereY Dusiness License Number(required) <br /> , ' ` {-c ' ��4137,�, i <br /> Proposed Use of Bwldin . <br /> iContraci Price of Nlork I <br /> Square Footage Qf reside t�a�new const�uction, remode�or add�tion �l�`'"'� �'r._ \���n C�� �- <br /> . ) Coniad Pers / on ac um cr mad <br /> , -�t.:�;�_rs�-.�h.s�oE�i� <br /> � �s3. �,y�- ��..�G "' r <br /> iJTY��- <br /> NumberoldeNces (Iflow4ollagc) �111;�,� ; ,r,Ac� .sysT�LiY�ac1.L �a,�� <br /> I Desaiption of Wark ro Be Done: =J1 S 1-cLII �� �,$ ��L��,�; <br /> ' �-� � I Jr I� � �,' <br /> I � FEF �- � <br /> qTY OF EVEREI'T LOCA SALFS T!1%CO�E IS 3105 '^D <br /> !hereby ceAdy Ihal I have ead and oxaminr.d lf�is applic;iLon ond knovi pr�same to be fnie and ,�� <br /> coaer.f Aflprovisions o/I s and ordinonces govoming fhis(ype ol woAc will be campiefed <br /> whellre�spor.i�ed herein o nof. The gran7ing p/�pvrmd docs no!prr.sumo to givo authonfy to PERMiT1F <br /> violnfe or wntr.J 07e provis ohs o/any oUicr sWfr oNocul la�v mgidahny r.unslrucdon ru lhe ' t <br /> pe�foim.mce ol construcli . T1wf!nm auBronzed hy fho ownr.r ol tbis proporty to pedorm Il�e E I u. �� ,Pl�� <br /> work lor�vhich app�ication i maUc and f r.ompty wilh(he Slate Conliadors La�v fA.27 f2CW antl I �J <br /> 29G.200 WAC. <br /> C <br /> `;4�. � .�.1 :� �•i-<n� i.:i �� - /U - l '/ <br /> Signartue � � — ����` <br /> .��v���o�.�,. � 1 <br /> bt'� b9£L16R4:9Z yoo�swolsRSonqenouui d90f.�4101 �oCl <br />