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p. 1 <br /> � <br /> ELECT CAL PERMIT AP LICATION <br /> C�N Q EVERE77 pERMIT SE VICES <br /> � 320 EDAR STREET, EVERE7T� yyq 98 01 y � �—� <br /> 425-257-8 10 - FAX 425-257•8857—wvvw,eve ottwa.org <br /> APPLIC IONS qRE ACCEPTED FROM 8 AM'T 4 PM C0��` �� <br /> 3s/.Z .s,x.r �- � s ; <br /> PROJECTADDRESS <br /> I ' <br /> � <br /> Ovmer Nlali AOdr ��b I . <br /> � Sbt✓I�p PhOn� <br /> Tena�/^ �O I 3 'L .s�'L!T'�' S� �'� �jp� •Z'�9 <br /> �.4911 Atld C�ty <br /> . Sdb2¢, � Phono <br /> e-�ea. SkS 3 ai � rtv .�v f�'' <br /> EIO�VIC81 COnifAC(of Mall AOd � �v� ��� <br /> I ��a ; - SLn21p � PAone <br /> �c ��vr �y � YS�� <br /> State liCense NumCer � � <br /> i � C ntract Prlco of Work <br /> �Q i <br /> Proposetl Uae oi pulldinp � <br /> , C ntact Person (Plan Review) <br /> Oescription ot Work m Ba oone: C� j2 �0 <br /> > L[ <br /> � /��u G A�y.b <br /> i ' <br /> I ? <br /> NOTE: WIRING IN NON•DWELLINGS I REQUIRED TO <br /> BE IN RACEV��AYS, MC OR AC BI.E, � FEE <br /> , s� � <br /> CITY OF EVERETT I.00AL SALES'TA%CO IS 31D5 <br /> 1�orcby Certl/y thef l I�eve read antl 6xemMe h1s eppllCotlon and know tho w;ne to be true end <br /> �c�, a/prov/s�ons o/lews ond on1lnence ovemmg th/s rype olwork will ho comp�etetl <br /> whether speclRod hepro/n ornot. 7he prenf/n 1 e permrt doas nof resume ta glve ecthorf(y�p <br /> P��mpnCe�o C nS7rucflon�nThotl�mthers �e0rloCi!lawroDuPe�/npconstr,«yonorme, <br /> work lor wh�ch epplicetion!s mede end!Ocm J with fhe 3fete Coni ecto spLeHyfB,27 RCW nd <br /> 296.2G0 WAC. <br /> .�1�/ �. �C,� i <br /> I9nsture , � � / <br /> � ��. �� �l <br /> � : ';�'�l� � <br /> ; ; <br /> � <br /> � <br />