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0ooziooz <br /> oa�ot;=oi7 noN ia: ae rax . . --. ..._. .- —.— <br /> ;.—_.------ ----- — — <br /> I <br /> I <br /> ELECTRICAL PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERE7T,WA 98201 /�_b�—/3 <br /> 425-257-8810 - FAX 425-257-8857 –titi�•nv.everettwa.org `I ��_D., .\ <br /> �!(J <br /> iAPPLICATIONS ARE ACCEPT[D FROM 8 AM TO 4 PM L r � <br /> i � ��c�� � � S�" 17� S'C <br /> PROJECT A�DR[SS �� �G� <br /> J <br /> ' c.�lr�.h �u�v�s� � ���U � s� �R SE �ve�e-� rti�� �lg2o� �e g � � <br /> ' Ovincr �dadAOdress CCy SlalelZip Pi�one <br /> `� /1 <br /> �� i � <br /> i <br /> i Tenenl,6 hlnilAddress City StatGZip �� � �� <br /> j i`�S 7'�i�.E. lll�)S� � � <br /> F�G��G �2� 5 S-i-a-ct�S+ �2Gt-f'-KD W,� ��b13'-i ? SZ� ', <br /> ElectricalConlraclor NailAOaress C�ry StatelZ�p Pnone , <br /> ��S y� �� U� �-1Z� �� �vl <br /> � ��0 I <br /> I State License Number CoNract Price of Work <br /> i <br /> �e S�c�.P�a I � Le(-1-�-i �c� I 2c���� a1'Vl (��S(� <br /> I �roposed Use of Build�nc� Contacl Person (PI2n Reviev:) <br /> ISquare Foota�e Qf residenli3l new construction,remodel or additiun) <br /> 1� �,� Z� o� 2 �:f ' <br /> I �escription oi Work Io Be Done: O� �t� l �� <br /> Ir�c�-�- ��n�� �- ; � �y i E � �Q r;� � /��� -'- <br /> � <br /> _�.v-��a�� ��� -�-D ��� T <br /> �� !JOTE: W�RING IN NON•DWELLINGS IS REQUIRED TO FEE ��'� <br /> BE IN RACEWAYS, M11C OR AC CABLE. C–�C`j , <br /> CI'Y OF EVERETT LOCAL SALES'fAX COOE IS 3105 <br /> 1 hereby certify th;�,t 1 havo raad and examined fhis application and Moiv Ihe same to ba tnie and ,I <br /> ccrrect. All pmvisians ollaws and o�dinances govcmmo this type o(wnrk�•+ill be completetl � l �/'� !�_ _ i <br /> wheVie�specified herein er not. The gran(ing oI a pemid Cces not presume fo givo authonty(o �ll`, �%"' i <br /> ��:io�afe or cancel L5e provisiona olany otherstata orloca!!aw reculating consfvction or the <br /> � ped � � � . o(conslruc0 n. .hat f am nuehonrod by fhe mvnei�f rhis propeny to per'orm Ihe <br /> � �� rk lor:vh h applica( n made and I compl}�wi(h the Sfale Lonlracle�s Law 78.27 RClNand <br /> 9 2001 A . <br /> �� S�gnatwe � ��� � � <br />