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Apr 15 1501:27p <br />ELECTRfCAL PERMIT APPLICATION <br />CITY OF EVEREIT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 982D1 <br />425257-881U - FAX425�257-8857—www.everettwa.o�g <br />���11�j T�aLl�or ��2 <br />PROJECT ADDRESS <br />� Cw: er <br />Tenant <br />Elec:r.cal Conhac;or <br />�l.al <br />Ma�l ACdrecs <br />htail ACom�s <br />1�ORS�,T � ���Do <br />Slate Licnnse Number (reqwre ) <br />/�Lr Serv <br />Proposed Usc o( 9uildmy <br />2��5 l 7D i�-� Sr <br />C.ry <br />I <br />Square Footage pl residenhal new constr��etloq remotlel or ztlWion) <br />N�mDer of dovices (Il low voltage) <br />D=scrip:en of Work lo Be Done: <br />CfTY OF EVERETT f.00AL SALES 7AX CODE 7S 3}OS <br />CSy <br />Crty <br />p2 <br />y�,n.i.�^� c.<.fl `�3� <br />St�tc2:0 Phorm <br />Strtc/ZIF Ptr�ne <br />S�atc/Zip <br />Phonc <br />?��5 I y� S <br />Gty of Everetl Bcsiness License Number (reQuired) <br />� ��. �f� <br />Contrad Pnce of Work <br />Conlact Person/Centact Num6crlEmail <br />5(�t�.l� `i�'11� S <br />1 hereby ceni/y fha! 1 h�ve read onA exmnined this opplicahen antl Imow fhe samn to be We end ���.� <br />cerrect. Aliryovrsions ollmvs antl adinonces goveming fh�s type o7 worh wlll De completed <br />�rohefher specified he�ein or not. Th,e granG�ng o! o permif does naf pms�me fo give authonty fo PERMII � <br />v�olefe or cunc�f ;he provisions of any ofheratn!^ or loca! lew reguloturg cons!ivction or the � „/� <br />peAormence ct construc!ion. Thet f em aulhom_ed by the cwner of �hrs pmpcdy to perfoim the E li�./ <br />worh lor r�hich app5cation is made ond I c�m�1�c �• th fhe Statc '�ntrucrors Caw 18.27 RCW and � <br />296.20G'NAC. _ / / ---7 <br />/+ev�5E009qY±^v <br />a-I—�i�S��_���,�I�s <br />, , �"15 °° <br />a/� <br />