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• j� �cj- "�—z'�< < C <br /> � <br /> - - -- -- - - - - ; <br /> i � <br /> I <br /> � ELECTRICAL PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, [V[RETT, �rJA98201 <br /> j 425-257-8810 - FAX 425-257-8857 —•,✓�•✓�v everetttva org <br /> I APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ' <br /> � I <br /> I � <br /> , _ 1�11� �Ir9� �vQ (=vvr� R�� i <br /> PROJECT ADDRESS <br /> i � <br /> �� I <br /> ' ,����'ro,al,vQll.t�rSL 1q15 P��c,l:��l�v.�_ C-1R.��_.�,.����_L q�-�-��a-�, : <br /> . Ovmer J ',ta�lActlress C�ty Sta!e2io PCore , <br /> i I <br /> � -_ .___ _ . _— ._ __ __ __ __ --_ <br /> lfran� L1aL�CC�ess Gly State2�p Fro^�e I <br /> I �� <br /> l��s� �� ��ic,�v�� l�I��isfc�l�. �-�,.,:�__�9�50 �_��� ,' <br /> � Llec'nCal Con'ractor tda I,1C.ress Cdy S;a:e!I p Phone . <br /> � }�C�����T'(� I� A � i� � <br /> 5!ate L��cer.se 'Jiui�ber Contrad Pnce o1 Work � <br /> i <br /> IQ�.,�(�.(� ��J-��3�2_C�— <br /> f'i�sed UsW �L.k?uil�ing Conlact Persor (Plan Revicw) <br /> I <br /> i i <br /> Square Foolaye (II res�deniial new construdion. remodel or adddlcn) . <br /> I i <br /> I Descdphon of Vdork lo(3e Done �Z\�_(.(,]�_Q�_�,�_�,�� _ �g���_j�r� �y,����(1Q,�� I <br /> i r <br /> ' -- '��-- �`�-'�__L._���� �`-( .�il�� .-- -. _ _. -� -- -- � <br /> ' -- -� �-G�_1-t� ,�,r,�-�->`r C., I ZOCD - 11 a, � � <br /> i NOTE WIRING IN NON-D'PJELLINGS IS RE�UIf1GD TO FEF i <br /> 6E IN RACEWAYS, NIC OR AC Ci�BLE . l � <br /> I GTY OF EVERETT LOCAL SALES TAX CODE �S 3105 —_----- .- . - I � <br /> � I hemby certrly 1ha(I have read and examined lh�s app4cahon and Fno•:�Ihe same lo be fnm and �/ �/ _ �� � � <br /> I correr.f All provrsruns olla�vs and ordmances govQrtimg fhrs type o/v:ork �c-df be compfefed � �Z� �.O <br /> �;h,rthci spec�fied here�n er not. The gnnAng o�a pemul docs not presumr. to yi�-e aufhonty to �� <br /> j ioolafe or cancel(i�e provis�ons ol any olher s(ate or local laiv reyulaling consfruclion or the <br /> perlomiance ol conslructron. Thal 1 am aulhonzed by fhe o�vner cllhis pioperty;o pei'omi Ihe I <br /> r�o�k lor�vhich app/icaffon is made and I cornpl}��rdh(he Slate Ccntracfoa Lair 18 2i RC14�and . � <br /> � 296 200 b C � <br /> I <br /> � / . <br /> � - - - ---------.__ . _._ -1�J�����--- - - - -- <br /> � S�qr3W Dd;C <br />