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G�c-�I-2oG9 Ct1:r��F FFnP1:PFLiFE_��=�?O�iaL E��CrFI 35ri -rs 1b=�� To:•125�57E�E��ST P. 1 <br /> �LEGTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 /z _ 't z—O � <br /> 425•257-8810 - FAX 425-257-BB57 —www.overettwa.org �a�/Z `�/, / <br /> y <br /> APPLICATIONS ARE ACCEPTEO FROh1 8 AM TO 4 PM , <br /> tio7 I/, e� i2� �se �U�� ve <br /> , <br /> PROJECT ADDRESS <br /> I��,o-, Fi'a ✓e�n��3 � v�o7 f/��ew /1 �/9[ D� �-�.ir�fT" G�li 9A'd�� <br /> Ownor , Mall AdOross Cily 5tato2ip Phona <br /> Tonanl MallAddross Gly SWIo/Zlp Phona <br /> v��- <br /> P/��CSS/'O.00 � /i/Cc�j.L SNt. ,e�/.3 � �CI A/I. .-• �/ ���3,�0 d�0 <br /> Eloclrical COnlrector Mnu Addross Clly 5lalo/Zlp Pnono <br /> /�/Lo%��10 �'7.��4 <br /> Slnte Liconso Numbor � Contrad Prico ot lNorY. <br /> Proposod Uso ol Bulldinp Conlacl Fercon (Plan Review) <br /> �oscdpllon of Work lo Do Dono: ./h S� �� � ��O� �"L� �'�/'C�.7`— <br /> h O�7 � yo ✓ . 3 4i�� d- co.�.��c� /� a f- ��L <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC C�6LE. S � <br /> CITY OF EVERETT LOCAL SAIES TFUC CODE IS 3105 <br /> I horoby certlly thef 1 hevo read end examinod Ihls epplice(lon and know fho seme!o be truo and <br /> conocC All provlslons allaws anA ortilnnnr.es povnmin0 thls typn c,f�s•orfr w1116a complotnrl <br /> whofhorspocl�od horoln or not Tho pronflnd c/e ponrut o�es net prosumo fo glve euthcnly fo <br /> vlolafo or cuncel tho provlslons olony afher sfe(e or locallaw regulnflnp eonstrucflon or tho <br /> porformance o/consirucflon. Thof 1 am aufhorYzed b}�Iho ownor o(fh,is prepoRY fo pedcmi!ho <br /> work lor whlch nppllca0on!s mada and 1 compl���+ifh tlto Sfofo Confreclors Leiv 1817 F.C:N enA <br /> 296.200 WAC. <br /> ���/ h�y.�-, l�-a�-�5 7 <br /> Ipnalure 91e � <br /> Cjl� ` i <br /> — -- --- - --- -- --- , <br />