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Jun 2G 12 10 29a Accomphsh Elodnc 360-E53-65' i p � <br /> � • <br /> -- - — --- -- - — -- � <br /> � ELEC�RICAL PERMIT APPLICATION <br /> I CITY OF EVERETT PERMIT SERVICES <br /> i 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 42�257-8810 - FAX 425-?.57-8857 —�vw�v.everett�va.ora <br /> I APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM I <br /> I <br /> I <br /> I <br /> Iq I�i � �r Lo .,� /�{v� � (�vP."�{- ��1 <br /> ; PROJECT ADDRESS <br /> ,�e��-a 'Jc.l�ctic� �91 r, Q, tc,�'z � �vo (vQ sef�- t�.� �;5;�21 �1�5-��a�•z> j <br /> Cw�',bf _) MaJAA�N:s Gty Stai�•l'uC Pl�.oro <br /> r�I�SYIS�J �� Q���� " --- -- <br /> Tendfll I.SailiVOrvsS Cty Sta'e2ip Pr'�tw'�e <br /> JJJ I�A� Lr:a.(`�;��`� �U ' <br /> I�tc�r-���r �c-i-�� � l.� �- I-1-�I� �< _ ��.��wn,��-, wa R'taQ'�.�s;�'�-�.�,� I <br /> Eledii[al Contt-aGtor lda6 Nddrcfa: J Gtp Sfat�7Jp Phnnn <br /> ac: �m�-� s��imt ������ I <br /> Slate lJcense Number Contracl Pnce cf Work ��p_g�,3_ �J�1 I <br /> � `�l �—�".��� . <br /> � Y'-�ILY'�'}�-iC�l �'��r_l�lt2.t/1 h ) �v-=o�� 'r� � <br /> � wopoxd Usc ui Bu�idmg Contaa Per'..an (Plan RcHew) <br /> �f' �^�'��l ���'�7`� <br /> ' 1.�3:� :'- ._�_�",_` <br /> Square Fco;agc Qt residen5al r�ew conslruGion,remodel cr addrtan) <br /> Descn�u�n o1 VJork ro Be Done k.�,¢'ltY x"� �'"9 1'YY7f`�4 � . I�(�`'� .�z� C;. i=�{�11�`� - __ <br /> I - - <br /> j NOT[: WIRING I V NON-DWELLINGS IS R[QUIR[D TO F-LL- II <br /> iBE IY RACEWAYS, MC OR nC Cn�LE. � �� <br /> CITY OF EV[RETT LOCAL SALES TAX CODE IS 3105 �- � <br /> 1 herob •crRrly 7haU h2v0 m3�and erxmined fb�s,pp�icnLon anR know Nra smne tc bo lnio nnd � I�O /' _ � � � <br /> carm� All provis;ons of Iows nnA oN�nences navemrng f�us I�pe o��vork�vrl�ba ComUfe�Cd f,-. <br /> ��.h�ther specA�cd hemin o�no!. The grnnfing i�l a permd Coes nnlp iosumn to y�vn aurnunry�o 'F� <br /> �^0l0l0 of C.]nM71 NA P7[1Vi40RS(l(Ally 0!hAf 51�318 0�ICCdI Id1Y BQUIOLlIg GOOSfrtIdIGO O!fb0 <br /> ocriarmanr,�>o!cons,ruchun. Ihot 1 am auMo.�tteU by die ox�noi o/this pNperfY to perforrn fhc I <br /> hv�k lor whre� a�Flieatron is modo one7 f mmply wrth tho Stato C<vihacfo�la�+• 7H2i NCV✓and <br /> ?9ti 200 L4'AG. <br /> � �/ � ��� .'� ��-�5��- �J�.d�//�Z <br /> 5,g�;�; Ualo <br />