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� � <br /> i- --- --- - -- ------- — — — — - <br /> I ELECTRICAL PERMIT APPLIC.4TION <br /> �ITY OF �VER�TT P�RMIT S�RVICES <br /> I 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8657 -�v�wv everettwa org <br /> I APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � <br /> �� �! ���c_ <br /> I PROJEC7 ADDRESS � <br /> ' ��11:� ��l( /�9� _ ��r- wv� 9�.�3 <br /> � Ca�rer tdad Aedress C�ty S;ate2�p Phone <br /> i <br /> ' i enant 1,1a�1 Address Gry SlatelZip P�one � <br /> N_ l� � ,�lc�S��CC c_ �O /3?7� 3/�.3 �_u-�.� W R _ `� l 3 �r2v a <br /> E!ectrical Contraetor L1ad�addiess Gty State2�p Phone <br /> • State License tcumber ConVact f�n�W� I ���� <br /> �roposed 'Jse f(3ullding Contact Person (Plan Review) I II <br /> i P <br /> Square Foofa�e (If«sidential ne�v conslruchon, remodel or adddion) <br /> � n , / I � <br /> � p � 7�� p/ �'� "� P',ULY Gc�G' 1 I <br /> I I)r.scriplion ol Work �o l3e IJor,c� 11.,�� (U�-� ���1��' _. �N� -- <br /> —i----- <br /> . <br /> I _3 l�r��'�zd�oz�rn ���..sf= �- � ,yN.4�� ��l7s.� <br /> � ---- — -- --- — I <br /> I NOTE. WIRING IN NON-DWEILINGS IS REQUIRLD TO FEE � 1 <br /> I l3E W RACEWAYS, MC OR AC CA�LE . /�O r <br /> l/i <br /> i <br /> CITY OF EVERETT :ACAL SALES TAX COOE IS 3105 <br /> '� I hereby ceri�ly tfret I have rcad and eramined fhis appl�cahen and kno�v the same fo he Irue and E� fY`./ , /'��� <br /> conect. A/l provisions o/la�vs and ord�nances govemmy thrs type o1 n-oik wd16e cornplefed Z lJ ( �/ I <br /> r:hether speci/icd here�n�r nof. Thc yranGng oI a permrt does not �esurrie to givc aufhonty!o <br /> ���ofa(e er cancel fhe;,rovis�ons of any ofhe�slate oNoca!la�v reguPr;�,��o�so-��n�„a�m� i <br /> pedonnance o/%cns(ruction. Thal l anr au(horized by the o�rner oI thisp rope�ty to peAom�fhe <br /> :�ori�/or�vh�Qh applica(ion is made and I comply�vrfh Ihe Slafe Confraclors Laiv 18.27 RCW and <br /> e96200 C. <br /> �� °j- �z- �2._ <br /> S�g:iaimc . — —Date ___— -- <br />� — _ � <br />