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0�--1 :-0°; i��:qi ;41.'Ele_tr �c ia2"s2:;=E'5i . _ ' i � <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 g —I 3-�(� <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org p <br /> APPLICATIUNS ARE ACCEPTED FROM 8 AM TO 4 PM C�/��-0�S� <br /> ;�31"3 SM�fi� �e , Eve.e� �/� �'Sa4l Jc�B� IS�`1 <br /> PROJECTADDRESS <br /> GI'�'�� �I— �VCdtrl �t/F} <br /> Ownor MallAddress Clry SUIN21p Phono <br /> �Vzse� 'f7?��s�T. Sw,F� f�✓s�' T�iP.�.,i.--� C. >�DI S�, /f4 t1� <br /> Tenonl MollAtldross Clty SWte?Jp Phons <br /> N�M L--Lec��C (-�. �TI$ �ecL� /t+� M•riysur�Cc �} �/���70 sC0-6S8=Usv' - <br /> ElectficBlCoMreClor MfilAddre6s Clty Stale�7Jp Pnone <br /> �-}M �L t T�`�0 >7 K� S��F, 53�8� a n <br /> Sta�o License Numbcr Contrad Pnce of Wark <br /> n �j.�S `.�.7.�-- <br /> s��.�f� ��s;�-- �-�--�.�- i ��,� w�vKs 1'"h'1-Y��cK l,i�ic� ��3�, <br /> Proposed Use of Building Contad Person (Plan Reviewj <br /> Deecriptbn of Wu�k ta Fiu Done: �l�$�'rF L L ���r1 P YJ wcP � C^�'^���• C oN Titiusv2 1��� <br /> a=Nsr�r�L � Nc� cGccrr�c�C. ��LI� /c�✓;� r�'��e,� 2� �T�7/�iah <br /> (.h-Fs�la-,t�k� ;1.-�'i� 2�:� Ce��cG�,/' d Glic�r�I I=o2 �G,� ' <br /> �NA'�.�i `f SG���i s!• <br /> Lviti N«,� r'2�s�j i,�.�i hi�S :R✓ce- � S�y.�1 . <br /> NOTE: WIRING IN NON-UWtLLINGS IS REQUIRED TO FEE � <br /> BE IN f2ACEWAY:,, MC OR AC CABLF <br /> CITY OF EVEREiT LOCAl8Al.E9 TAI(CODE IS J705 <br /> 1 hero6y cr�rfify fhef I hnvo road and ezamined this apAGceHon and know tho same fo ne trve end <br /> cbrroc(. Au p'ovisions of Inws and ordinances ga�ammg Ihis type of work wl/l Oo comp/oted <br /> wAolhor s/�ec�rd hurr,in or nnL Tho pranhny ol a permrt dces nof nrr3sume fo pba aufhonry fo <br /> vlolofo or cancnl(h�provisions ol eny othorstate oNocal law repu�n6bp oonshucNon or fhe <br /> /xirformanca o/tvnsiNetion. 7hat I orn nuthaimd bylho ownera�thispro perty fo peAnrm fAe <br /> wnrk/nr which oppUcAfiOn IS m8de end I cnmplyWltA fho Slato Cof�fr,�cYors Law 1827 RCWantl <br /> 2B6.200 WAC. /().,, ) �/y1D � ,C D�Q��d',7 <br /> � �,�j- /,,,� ( 1-'�.)�C�IUI'1��9'SC2 / �/- / <br /> // lGd'" �- '"" ` rl'y� F lrc th'�� 2�✓l. �'��3�0�-- �rl,l�r�c7� kJ� r, <br /> Sfgnatum pufu � <br /> ./ ' <br /> �wf'l(.�lC�it �-M-11=f�(=L ,CoM �Q�6�- �S <br /> �' �b� <br /> -- -- - --------- / . <br /> �� 3�o cas� o �o�- _ <br /> �cr��-rf� <br />