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ELECTRICAL PERMIT APPLICATION <br /> I CITY OF EVERETT PERMIT SERVICES I <br /> j 3200 CEDAR STREE7, EVERETT, WA 98201 i <br /> + 425-257-8810 - FAX 425257-8857-www.everettwa.org C `.�—� (.r <br /> � J <br /> � G I�4b5-la.Z, <br /> �o�� l�v�.�P��U �kti�. <br /> PROJECT,ODDRESS . . � <br /> I <br /> [c�0� i.vA.��tv_,_�±h"—"T wA 9'32n� . <br /> wmer n!a��necress cnr s�tc2o Pnone <br /> II ! <br /> Tgndnt M1L���A2dm5z Gry S�a'ofZp Ptwnr, <br /> �.��t'i��'Y�L�-��--►��_��-i�,n'� A�I�i t�21� ,trxr �.t:lt Q5a23�'..A-�'3��Zb ! <br /> ( ElectriralCnntr�.'o� �M1'�a'�tAdd:�., � Uy Stac2v Phon� � <br /> ' 00 � <br /> i D�r�r�ee:s0 4�� ,�°°°' <br /> � State Liu:me Number CanUad Pricc o(Wark I <br /> -�fa� LGnnJ�c. i <br /> I �,��"a I <br /> Propo.^,etl Use o uildinp Contact Person (Plan Heview) <br /> iSquarc rooW90 pf ros�dennel new construcLon,ramafrJ or add�hon) � � j <br /> I N;;mbero`devicus(Illowvoltagr.) � � . . ., I <br /> I �r_sr-�iPfion ol Work Io f;e Done' �! 1��A� �����-�� — - � <br /> I . ..__. _ __- — ' <br /> � — I <br /> j ___ i <br /> � � <br /> � fEE - 1 <br /> i CfTY OF E-VERF.TT LOCAL SALFS TAX CODE IS 3105 I CJ� I <br /> � 1 he�eby ceRity�hot I havr m�d Rnd examirre�fhis app�cation and know fhe same lo be fruo ard � —� <br /> r,orrect. All pmvisions ollaws and ordinances,qoveming this ryPe M woM will be compleled r--- I <br /> vfieB�e�speci4ed hmoin or nol. 1 Ar.qranGn,O o(a permif dx_t not pmsumc to givc nuUrorrfy to PERMITA . <br /> wofa7o or cancel the provl�ions o�any othrr stntc or rocal iaw regulaUng conslrucfion o.rhe � I��� , I�j � <br /> peAatn�nte o(eonsfrtiCinn. That I am aNhorfzod by iho ewne�o)fhis p�operty to pedoRn lhe L <br /> work lo�which appl�cabar is made and 1 comply vnlli the S7ate Contrxlors L nw 1P.27 RCW and <br /> z9s.zoo wnc. <br /> a / <br /> �.-ti.Q1"_ oS��`� - <br /> na;u!e <br /> w.MSiJYlY:] ___'__ —____�� . <br /> Z00/ i00'd SOT£q �NI Ji�d1J�iL' Np5'I�Nt40U 9?106L409f i6�50 SiGZ/ET./50 <br />