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01/]6/ZO1: ;HU 1:: 07 Pn!( � QJ002/002 � <br /> ELECTRICAL PERMIT APPLICATION <br /> - --GITY OF EVERETT PERMIT :3ERVICES - <br /> 3200 CEDAR STREET, EVERETT,VVA 98201 <br /> 425-257-8810 - FAiC 425-257-8857 —�v�v.v.everethn�a.org <br /> APPLICATIONS ARE ACCEPTED FROh1 B AM11 TO 4 PM <br /> ��cs� ��� .�-. <br /> PROJECT ADDRES <br /> I�������V`11�v� llla, ���J� f��2na 'i yC1111� .\�� �l�Y�-t �t�-�•�� <br /> C�mor tAall Add�2ss pry Statcl7�p Pnonc <br /> Tonant r.v�u Adaress Ciry 5tato/Lp Phcnn <br /> �� 'Y� �Q✓1 l'.CY1�.���L{YiC. I�rl�.2nnSr ���-b�(I.I.S�A �CSZ��7 �19f���lq•�� <br /> Eledrical Contractor ��'.� DI �� �� r .LI ��1 I�`^, ,�A iYSt�2763� Pnono <br /> IUI�{�Ti OIi�C��O� t� C1k, � v�-��OD�O� <br /> Stalo Licensc Number � Conlraq Pdce of Wak <br /> � ��/.�i-�l �- �'lu�La���1_ � <br /> � Proposod Use of�ulldmg CoMacl Person (Plan Review) <br /> SGuare Footago Qf rcsiCential new wnsWqion,rumodel cr aCddion) 1 <br /> ,1 /J Y � /� ,, y \'(� <br /> UwcriptionofWorRtot3eDono: �1 f lV` l-X M-l.l �r� �Y�IU�' 1 \��J��1 .1�V <br /> _,�`� � �-- �� l�j . �_Q.-�k�C'�Uy� �3UJ1�.Ul.QSi <br /> �� • _ � l,l <br /> NOTF: WIRING IN NON•DW[LLINGS IS RCaUIRfD TO FEE <br /> DG IN RACEWAYS, MC OR �C CABLE. �O O <br /> CIiY OF E•VGRETT LOCAI SAL[S TAX CODE IS a105 -- -- <br /> 1 hereby corti(y(haf I havc re�d and ozaminod(his applicaflon er.d Mowlho somo(o b�truo and � � �n� O�� <br /> co��ecf. Al/provisrbns ollat-.�s anC orainances goveming fhls fype o/�surk w;!1 bo cumplofod �� i <br /> whefhor spaci�od herein o�noL The grunfing o(a permd Ooes nol resumo(u givo nulhonty to <br /> rlola7e ar cancel(he provislons oI any oU�e�sfafc or locol/aw�oyuP6ng ccns�nicfion e�tho <br /> oodormanco on�tnullon. Thaf I am a�rthonted by fhe owner o/thrs proporty to penbrm fho <br /> work/or whi a plica !on Is maA ar.d I compfy with fhe Slato Contracfors Law 18..'7 RCIh'and <br /> .'9G.P00 WA . <br /> L '' '1 <br /> SignaWrc Ua1u <br />