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ELECTRICAL PERMIT APPLICATiON <br />CITY OF EVERETT PE�MIT SERVICES <br />3200 C[DAR STRFL- i, FVERL=TT, VJA 98201 <br />425-257-8810 - 1=AX 425-257-f1857 - �+ everel,waorg <br />APPLICATIONS ARE ACCEPT[D FROM U AM TO A PM <br />� `% / � S �'-`' S <br />PROJECI ADDRESS <br />i <br />� P��3 <br />�4 <br />I� _�h� �� /h, il<� �y��- s � s% �'���T�✓�ti__- ---- <br />. OwOer 1dadAdtlres5 City SWIc2qi PPone <br />� TenTnl tdadAdtlress Cdy Sfatc2�p —_�— � PhonC <br />'_�Jc/�/e �/e.1�oc, 5 9��/-?�6 SrSc.J �1�1_ (,,/,� 9d�05�3 Zo6iiy7So5 <br />II:IedricalContrB� fdailAddics, �-- Gty ���� Slatc/lii� Phonc <br />1 <br />`v� /.� � T� S�J�� <br />Statc Liconse Number <br />- J� '�' S ' <br />Proposed Usa of 6wldinc� <br />� <br />IDescriplion of Work to Oc Done�. <br />� <br />_�• % .Z 9. �� <br />Conlracl Pricc ol VJork <br />COIlIi1CI PCf5011 (Plan Rev!�•v) <br />LC�✓r /�tu.../e <br />�GT�7 �PL7Ni9 r if'[>�a.-� G�i�i.t�/ 7! �tx%¢ (ia0 SuOLit !%Pc. <br />��.s _ i, �,� � <br />l r, <br />N011=' WIRING IN NON-DW!_LLINGS IS R[�UIRED TO <br />DE IN RAC[WAYS MC OR AC CAE3L[. <br />CITY OF C-V[RETT LOCAL S�LES TAX CODE IS 3105 <br />� I hcicby certdy Ihat I havr. road nnd exarnincd Ihis . pPlicntion nnd hnuu� fhc s,vnc fo br. Inm �nd <br />correcl. All provisions nf law.s and oidr.vnnce ,�ovr.rnin� this type o! �:uik wrll be cornplefed <br />wlicfher ;pr.ci6ed he�cin mvroL Thc �7runtinq nl a perrnd docs nof �msume fo giv�� nulhonly lo <br />viol�(c or c:inr,cl IJ/L' �J�t7VIS1011S Olaifly OiI1L`% SiOIC 0/ IOCiiI IlN ICIJ!l�;hng consVuclion or Ihe <br />Iperfonnnrrr.c o/rnnshur.6rnr. Thnf I nm aufhnrivr.d hy fhc ownci u! lln.: propeiiy fo pedonn Ihe <br />work lor �vhich applicafion is �:�m,a ancl l cornply nifh fhe Sfnlc Conhaclors Lmv 1827 RCV✓nnd <br />i296.00 WAC <br />( ., % <br />�(�_'����A�_ .Z�,f�by/ 2Ci0 -- <br />�-� Si naWrr Uele <br />f [i_ <br />FI �z,'2. ��y5 <br />