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1 <br /> ELECTRICAL PERMIT APPLICATION �� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S1 REET, EVERETT, WA 98201 ?J �� '�� 3 I <br /> 425-257-8810 - FAX425-257-t7657 —ww�v.evereriwa.or9 ���3 JI�, , <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> i <br /> I ��_ � r � -rv e, �s� � <br /> PROJECT ADDRESS <br /> I <br /> ` 1 �rre,n I��e ��zrza-f- WA 4� �c, i 9a5 s�z ��(s <br /> te. `101'}' �(� r-�i �ls? stei�r[�c ro <br /> IJaII Adtlress ���Y � <br /> �Wtlef I <br /> Gl S�ala21P l 3b�i� � <br /> Idoll Addross Y / <br /> Tenant I <br /> G 1,, ^?� . y°�oa l�3a 171arus��1(Q �a$��o bs3�S I <br /> �O�.CV\(� I.L�Xr4J �Se'�- 5cetorzip anone <br /> r,a��i n�+e�o�s 01y I <br /> Eledrlcnl ConlrecWr � I <br /> \I � �i � � C .� �9.17 . o <br /> ��� V� �� Conlrnct Price oi Work i <br /> St�te Licenso Nunber <br /> ���" i��� Comecl Pei�oo !Pi3n Rev�ew) <br /> proposed Use of Bullding <br /> ISquare Foatage(li reaidenqal new c�nstructwn, remotlol or addition) <br /> o c��e� P r �' le �•�c � �.- <br /> DeserlVtion ol W ort�l0 8e�one'. <br /> I <br /> FEE � <br /> I, Np1F: WIRING IN NON-DWELLINGS IS RE�UIRED TO _�� C� <br /> RE IN RACEWAYS, ��C OR AC CABLE. <br /> I Clh' UF EVCRETT LOC�L SALHS TAX COUE IS�3105at'or,and kncw the same�o be In�e and i > 'I <br /> II he�nb)�cvrtity lhnt 1 ha�o reod and oxamrned this App " I <br /> Lv/nrth r pecifu d�h n�po m or nof�7h�i g�mr,l np o/a G�m�f�doe ynof rosumo ie 9ivo a ucho id r� �! �C. � <br /> IIF��r`ormanr,o of cnnstrucLon. That i am eufhorized by tho ownor o/fhis AmOerty to pericnn f ho <br /> wr,lato or c3ncel the rovlsions o/nny othor stato cr loca l l a w r e gu atrn g construcUcn or Ihe <br /> � ,rnrk for wh�ch app��caUon is mnc�antl I r.omply wdh fhe S'ate CociraUors Law 18.27.RC W and <br /> il <br /> 296.20 lh?iC. <br /> � ��7 ����]/yj-f n✓�� �/�� / ��« <br /> I 'll'1LT.__11L1.at�—'rcL.�r��Ddl! <br /> SlqnaWrv <br /> �, >>--_' <br /> �.-�i.�il�.�al�? !IIi�._�,.•��� 9b59SEi'09E 6i �1Z ,.�3�3=./bZ. ��.T <br />