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rJ= �!;. (';�! j 'I'I. j%�'�� <br />tJ��. i44� f'. 1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, wA 9U70t <br />425-257-8810 - FN( 425257-8857 — vnvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM e AM i0 4 P�A <br />y�3 ���s� a✓e �e.�.ti� w�- 4'b'zo3 <br />PROJECIADDRESS <br />�_a�-�3 <br />C �3��_� a-� <br />Y��PS��.�t`'.5� SP.�+t�c�i-thle. ���ff Ll'k �18"Zo3 ;!2S3�tN� ilS"� <br />Q.r..M tJ.adAAEress C'�ty Suie/110 Pnone <br />Sa�/lP �S ,Q-Kr��P_ <br />Tenanl Me+� Aaumss <br />Convnctor ' fda!I Aaoress <br />i,�•�o�� <br />S;atc Lic�nsr. Number <br />P�osetl U ol dutlCing -- <br />Ciry <br />Cdy <br />SlalerLip <br />FhpnC <br />H`fo Z <br />$l6IC�i�p <br />�'Mna <br />� 3,lov.o� <br />CoNraU Pnce ot N�o�k <br />$q,vN �yt.o,��l <br />a,�v�� �sNe�fi �6, �� <br />Cantact Person (Plan Revlew) <br />Descsiplion of Wark lo t3e Done. p.��U1�J�I � O� OO � ' 1/•�� �.C� ��J <br />lNSkh��Q�_.���'L.1��5 �.-w� �NL� "l=S-�a,-{- <br />NOTE: WiRING IN NON-DWELLINGS IS R[OUIRED TO FEE l <br />�[ IN RACE�VAYS. MC OR AC C�tiLE . I <br />�D•o� J <br />CITV �1F 1VL12ETT LOCAI SALf_S TAl( CO[1E IS 3105 <br />I hereby te�fily the: f heve reed ond eramined 6h+s nppfitarion ond know thc same fo Ue We antl r� � <br />corrocf. All D!ovrsrons of laws �ntl ordinances govemmg fhi: type o! uork u,u be mmple(ed ! � <br />wfreNcr spcu6etl herein e� not The pmrrin� ol A perm�f does nef resume io glve au�barry �u `�' ` I�� <br />N^lafU 0/ Cdn�01(h0 p�ovrsions o�any etne� sl,�fa o� locai law reguPiing consWcbon a thc <br />oedmm�aner. o/ consbuefion 7l;al I�m �uU�cnred hy Ihe owner o/ thls �mpeny lo pe,Hnrm Ne <br />�ork lo� whicAappl¢a6on Is marJc and l comply wrth tAe Sta(e Conhacfors Law 1 tl. P RCw and <br />13 <br />