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Seo.l"o� 2U1� 1U:4JAV <br />$ounr,' JEiur�iy I��i <br />• <br />• <br />I�o.Oli7 �. I%1 <br />ELECTRICAL PERMIT APPLIC�TION <br />CITY OF EVERET7' PERMIT SERVICE� <br />3200 CFDAR STR[ET, EVERET7;'WA 98201 , <br />425-257-8810 - FAX 425-257•8857 � www.everettwa.org • <br />c� � � .� �'� �i�{'Vl� ►'e- 7�t�VQ�'ll�. <br />PROJECT ADDRF55 <br />Owner <br />Tenant <br />Eloctncal Cnnlrxctor <br />rnan naa�as, <br />t.;n�t Atldmr.e <br />fdo�l HGd�u.r� <br />Sow i rf'�- 9Y� b7 <br />Stafo Licensc Numbcr (requirod) <br />Ta.�Co JI�� <br />PfODU6B0 Use of �ui�dinp � <br />Gry <br />��� <br />cny <br />� <br />C�ry <br />Square FooW�e pl residenliai new constructlon, remodel or addltion) <br />1 � �Q,v � C� S <br />Num o� ul devices (II low vollOgC) <br />DascnpUon ol Work to 6c Done: <br />SL�In2lp � 7 `'' Pncnn <br />c, � <br />s��,�2�P , � zs_ <br />9�2b�/' 2 S�-3 <br />$U19IZ�p <br />Pho�u <br />Phonn <br />I 31�.3 <br />City�vcrer, Bu�lness Llconso Numnor (rnau�red) <br />�� <br />CoNrad Pncn of worh � <br />l�.e.k-�1 y 25= q 7�-� 5�l � <br />Contaci Per nlContacl NumDeuEmad <br />� ► �'1����.�C`,Yl <br />� <br />. ir'" `" �� _ <br />r.I7Y OF LVERETT LOCAL SPI_ES TNc CODE IS 5105 <br />� hornGy ccrtily tbs(1 hnvc read and exammuv fhis applirotion <�nd know flro senne fo Dn hun nnC <br />cormcG A4provisionsollawsnnAordlnuncas?o��omfngfhistyp�+olworkwill6r.cample(ed <br />whefhCr SpCC�IR�111G•21n ol/70f. Tllo �IJ���ng o! 9 pclrtlil dne9 nof �lP5un7e fo CNO �ufhOnry fo <br />vl0lafe or CO�CoI fh� prov�sions o( on}� ofhersfDfo orioCellaw mgulnhng cvnsfrutflon ortho <br />perfurmunce o! conSfNetron. ihat I vn aulhorized by fha o�vnor ol fhls pmpnr.y lo perlorm the <br />work lor wn�ch apphcehon is mode snd 1 compry witn fhe 51ste Connactors Law 18.27 RCw and <br />296.'100'➢VAC. _ <br />YEYISED C41161o�e <br />FFE <br />�50`� <br />r�rkrurr <br />E(3I�OQ-00� <br />