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�LECTRICAL PERMIT APPLICATION <br /> _� CITY OF EV�R,��T PERMIT SER�/ICES <br /> 3200 CEDAR STREET, EVEREIT,'WA 88201 <br /> 425-257-8810 - FAX 425-257-8857-wwd�.everettwa.ory <br /> r �� � �3 v�3 � I <br /> . �13/1 -D''I <br /> ' 4720 View�r Evernri WA I <br /> PROJECTADDRESS ! <br /> I <br /> Bredstrand same as residence. Everefl WA 96203 425-353-1610 ' <br /> . Owfte� ' MeilAdd(aes Ciry. SIahJLp � Phone - <br /> Owner <br /> TenaM IdeiiAOtlress C�Iy Sta;e�Z�p Phcre <br /> Ultirrrate Pow�r Systems 3616 Colby u313 - Everefl WA 98201 425-2b2-7.518 , ' <br /> EIeUIfcalCOnifadnf MailAddrcas Cdy .�. SW1MTp PMne <br /> i • <br /> ARTISCE035JM <br /> � Stete License Numbor Con6act Prica c(Work- <br /> Single Family Residence Wayne Lewis <br /> , Pioposotl Use ot 9uilding � . � , - Conlad Person.(P�an Rnview) <br /> � Square Footage Ui residenlial naiv construciian,remodel or addition) , <br /> � Number of devices Qt lotv vottaye) .. � - - , <br /> ` <br /> .I Descripuon or worx to ee�one Add (4)20A 120v Clrcuds. 3 Kitchen• Panel 8, 1 Mstr Bed- Panel A <br /> Repair In line splice In crawllbasemen4related to kit appliance ciccuil. Parel A. <br /> Add upper level AC smokelCo2 deiectoc Wire for interconnect to main level <br /> , Y�:.,r':,:;': . ' FEE <br /> CITY OF EVERETT LOCALSALFS'fqX'��}�]�lS3.Y05' � � �r OO � <br /> '.. . _ .. - : . . ,, . . .. - `� -�� <br /> � -7 hervby cerdty Ihat I have roe�ntl erefiineARns aFplicahm xna lmow the sanro to Do hvo and <br /> '; � sonecf. All p/ovis/one.ollows�ond ordinanceAgovpming.inis typi�ofwoik w01W.cornpleted � <br /> S;, whothor spoci�ic0�otvin ornol."77re arapting of a pertnit doos not presumo fv'giv�avfhonhj ta �PERMIT# . . <br /> ''' � . viofef��crcenceRhsprovis�onso(enyothcrs'afnorlocsllawregulatingconstnictiono�tlr� � ) (� I I � <br /> pad�rmanCo ol constructian. niaf/om aufhonzod by!be ownor e/rhis proporry to peAomr fho ��E I��� I �.�v� `j� <br /> wvrk/or which epplicsfion Is mado and 1 comply wiffi the SYofa Cnnfmctors Low f 8.77 RCLV ond � <br /> 2962DO WAC. . .. . . . . . � � . . . . . ' . , <br /> `� �wv-•���- ; 11.��3�� . - <br /> :� <br /> . S gnature � - . . � . Ueic �� � � . <br /> ���:� :' � . . . . .. _ , . <br /> �.YuviSEe vJmJ . � <br /> �kl_ � . . �f —�� • . <br />