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Feb—01-10 11:43A <br />ELECTRICAL PERMIT A?PLICATION <br />CITY OF EVERE7T PERMIi SERVICES <br />3200 CEDAR STREF7 EVERETT, WA 98201 <br />a25-257•3t310 - FAX 425-2:i7-8857 — www.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />�`�GS /Ll c� �� --�_ <br />PROJECT ADDRESS <br />P.O1 <br />��1 <br />�+��1 ��' � �i ncr� �/ `l/-S �� �` r i .rw /� (� _�P� a3 'zse�' /.3i� <br />Owner M.ailHddross Cdy SWIe,'lip Phone <br />Tenanl � h7.�11A0Cress ..__ C�iy.. Siair7.ip Phaio <br />y?� <br />h.-l��..�1�u��r�,.t___ �� o i,�c�_�--�—. �' i. J� _._ �s'� z� <br />Eleclrical COnIr2��pt 1,1oi1 Adchuiv r�q� Sta�NZiy � <br />�.PS/�L � <br />5tato L�r,onso Numbcr <br />rr ti <br />Propused Usc ut Audding <br />Descripiinn of ��'urk lo Ba Dnne�. � F/,+' C,� S�� ��( -%t, <br />CantraGl P�i�:e of WOrk <br />Conlacl Por.;on (Plun Roview) <br />NOTE WIFING IN NON-DWELUNGS IS RCQUIRGD TO FEE � <br />0[ IN I:ACLWAYS, MC OR AC CA�LE. �� � � <br />CI1Y OF [VEREiT LOCAL SALG9 TAX COOE 19 J105 "� <br />l irereby cortily Uiat f linvn rea�l anJ ex;imin�U (his applicatipn anJ Fno�r tha seune to bu Irue ond 7� i roz ��;.o� <br />cormc(. Afl pro��/slvns cfla�rs and urclinances gaveming fhis ty� e o' w�;rk will be cemplefod t_ <br />whelho� speUReJ herpin o�� �iot. ihe ynnfinp el a permR Aoi>5 nu:� resumo lo gl�-e eufhonty tU <br />violule or c,�ncol the F�rvv�sinns o/ any aflror sWfe or/ocal law w�ula tlnp consfruction cr the <br />perform;�ncu o/ conslrucliun. rhat 1 arn authr,nzc!A b)� tha o�vnr.r n/ihis pruperty to perfenn !he <br />werk for which ap�'�cahon is rnade anJ 1 compty �ti'ifh Ihe S(e(e Cnnh,�cfors La�r 18.2? rCIV and <br />29C 2U0 li'ACi / <br />— �rr/ _`f. __ <br />