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E �-.i;�.,, <br /> � ;-..._, <br /> i = , <br /> ` r-- - <br /> k" �yi�,.-�.,. '— <br /> i <br />�:�:'��f4,���';} <br />� ELEG'TRIC/�L PERMIT APF'LICATION <br /> I �: <br />� � GTY OF EVERETT PERMIT SrRV'ICES <br />` "'�`���` ` 3200 CEDAR STREET, EVERETr, WA 98201 <br /> 425-257-8$10 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIUNS A�'E ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE A;OT ACCEPTED <br /> 1 i� .L 3 _y"7 ��` �-:-R E E'T- <br /> , _ PROJEC7'ADJRESS <br /> ` I fiu3 "�25—ZSZ� <br /> �� �� <br /> ��7r: �F;.� Le- A.� n1�e.,1-c�z �nnS 3°lYi' `)r {VGC_ET'T (,JA 3283 I <br /> ��}�� Owner — <br /> ; <br /> MailAddress City SLte/Zip Phore <br />�"y,r��. ., S/1 U`�= — �/-Y-/L�.� <br /> /t <br /> Tenant Mai'Address City S4ate�Zip f'hone <br /> F�rc r��e� Wc 5-r /� �+ ��5 Me=�.a�rl/r�,;n.c,� �.�/� Tb' �3C-r..' '�/1— <br /> • �� � % �r37 <br /> ,.,, EI-�cl�ical Conlraclo� Mail Address Cily State2ip Phone <br /> �p v-D <br /> `�",, � Z G Cr/"7" <br /> � F ?- .� a 3 v •T� �`/ ,�L U o. <br /> Irf" � <br /> a Slale License Number <br /> �, � Contract Price of Work // <br /> � - �'��'�% V�E" .5.5 %'E�l."lRL CLin.. � / /./ BJ�'!J/YCJ /fj���K C Flrr-JICY/ <br /> /L��� C���:M/1�' k� -z�/1.� L(_it' r �✓ Wl•:T <br /> Proaosed Use of Bvildinc� Conlact Person (Plan R eview) 34.� lfi9� <br /> -- —� 9378,D <br /> � �Os'i /O�j'��' �� (rNa�� <br /> �v�',� <br /> Descriptior of Niork to B::f)one: G'c_Sf�%ET� J�a.,r.-��/ pf' /,l,,,� �,�0� yd f�'— (08�/ <br /> ���Sf-,'i�-e•,i, Tt..� C��,'�Ji c Lv:'•t� <7�o�iti'��.J ?� � �u2Ti�1 ��.rN2 <br /> <—J-- / <br /> �/�'<e7'.0 _�._�aR'.:� �y2 �s , (�/. H P e3-n " a o Ci2�.o,e f�2'�n�'l �K.✓� <br /> .�1ECC-'��Fr�t.t.. -�—"` _ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> CBE IN P.ACEWAYS, MC OR AC CABLE. <br /> CIT'f OF EVERETT LOCAL SALES TAX CODE 1S 3105 � <br /> I h��eby r,eiiily ihaf I have read and examined this applicafion and know the same to be true and <br /> correcL All provisions o//aws and ordinances c�overnm�th�r type of work�vill be cornpleted <br /> wnelher speciGed herein or n�G The�ranting oI a pemut dr es not resume to give authority to <br /> vio/ate or cancel rhe�rovisiens oI any o0�er sfa(e or/ocal le w reguPating consVuclion or the <br /> per/onnance o/cunsfrucfion. That 1 am authorized by thr, owner ol this property to per/orm the <br /> work lor which applica(ion is made and I comp/y�vith the Stafe Contncters Law 18.27 RCW and <br /> I 296.200 WAC. <br /> —���� . <br /> '"JX.✓ ��r�3/� h <br /> Signature ale <br /> � �5�t� vl�- <br />