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03/31/2015 02 54 :6505 P. 007/OOi <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7REET, EVER[TT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> � 4 � � ��G�, ,�� <br /> PROJECTADPRESS �� �'�� <br /> /l��t'l.r� �E� (� Io��d 3�� �.� �'� �/ZJ' .Z3�L �'J� <br /> Ownc+r MailA4dress Ciry StarefLip Phonc <br /> Tenant MaitAtldr�.a Clry SiMe2ip � , F'tionc <br /> .�e ��,���. r �c P o Ko� /'l�y r�(� j���� zs r .�r�� <br /> Elnctrica�contractor rAaa adaicss city sieteJz;P Fnone <br /> �r��4kiugs �� ? l p Q1 � .�(� 2 <br /> �Lannsn Number(required) , City ot Ewrott Qusiness Liconse Number(required) <br /> -,/l� <br /> Proposed Usu of 8uiiding Contrea Pricc of Work <br /> SQuara Footage(If tesitlenUul new construc6on,femodet or edtlibon) Contad PartoNConlaCt NumDeflEmail <br /> Number of de� ees pt bw voltage) <br /> Desaiplion of WoAc tn E3c Dora: /�fl/ w r��� _�� G/'��^ " W' l���l � <br /> ��� <br /> FEE / <br /> CfTY OF 6l/HRETT I.00AL SAL[S TAX COO�IS 9706 L /1 �' <br /> ✓ (/ <br /> I hBreby certily Na!I have mad and eraminod this appUcotlpn ond know Ne same to De tnro nntl <br /> eerrott. All P�visians ollews and oiUinancas govemin9��s ATa o/wak will ho cnrrutlatnd <br /> whufhor spvc�fied Aoroin or not. Tho granBng o!a pomat doos not prosurm�to givo authortry fo p�]7�t <br /> viNale o�caxo/mo pruvisions o/any othor srate or locni law regu�oGnp cnnshucbm or tne ^ ' C7� �_� �� <br /> pu�fortnanco dcvn ch'm. Thet I an euthorizod 6y fho ownaro/fhis proptrrty fv porloRn fAo t <br /> work for which e ation is metle end/compty with Me Stafe Contrudors Law 18.27 RCW and <br /> 296.200 WAC. , <br /> � � /�S <br /> � �UllY9 CClP. <br /> ObGd/d71� <br />