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1_i�;%?G!?fily%;�!I� Ul �. ;fj ;:';� G;eenraood Naating . :�.f. 1��. illr 1h�i h�'I� . . 'iiil;'j:'! <br /> ; ELEGTRICAL PERMIT APP�LICATION , <br /> j CITY OF EVERETT PERMIT SERVICES i <br /> ' 3200 CECP.R STREET, EVEP,ETT. ':�JA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —vrrrn eve;ethva ory <br /> APPLICATIONS ARE ACCEPTED FROM fi AM TO 4 PM <br /> �'INp6`' �53 � <br /> I ( -�a.�l --�I� i <br /> ; 12�- �I- e th 5 f- Sv�l� <br /> � PROJECT ADDRESS <br /> I, I <br /> �5� ���� dacS I2�I- �oth Si- svJ Ev Pi� cn In(A 9820� (20��39�'-�872 j <br /> Q�.vPOr f.1adFOtlrEss Clry S�:�a/Z��p �r.:ne <br /> � <br /> ��� ;� <br /> I Te�ant r.ta��aCd.�ccs Ciiy Sta;a2�p arcne I �:+C <br /> �;, <br /> I R5 W� I',F C.�G S25 S. Jt-C�C�Sf St'c+I'I�' WA �f��LOv 7fl 2SZj1 <br /> EIP rcdlConira,.iCr t.1ai;AC�resS rity StJll•IZip Ph:nE <br /> ' �ouVwq�S�M -��,.�� <br /> S�ato Li�ense Number Controct?r.cv ot Wu�k <br /> 5�(Z <br /> ProGo;ed Use o.`Budtl�ng =entz'i Per:�.on (Fl;,n Rav.e�u) <br /> � 1250 <br /> 5cuaie Footage (i(resitlential new conS�ruCLOn, lemotl6� Or BddiBon) <br /> Uescnpti0n of Woik lo Be Done: ��(�C� ��1Q�� ��n� r�� __� � <br /> �_____ <br /> — — ._-_ II <br /> i hOTE: lh'IRING IN NON-DWELLINGS IS REG�U:RFD l"O FEE�� 0� �i I <br /> t3E IN RACEWAYS, t�1C OFt AC C.48LC. � <br /> I <br /> CITY OF EVERET' LOCAL SALES TA% CODE IS 3105 J <br /> ._ I h,croby cerily fhet I hsve read Jnd paam�ned this app�icetion and know the Samo to ba wa ane � I��,/ � � C� <br /> ce�recL Atl p!ovis�ons o�iaws und urdinance5 govem�ng tnrs type oI work wi�l�e cnmpleted fYn �] <br /> wr,s�her spccified here�n or,aot. Tne granGng o!a permit does not�resume(o give aufhonry to "� <br /> vfo/ato or cancol tno provisions o!eny ofhers(ate c�lecal lav�regu ai!r,g ccr,svuctron oi!he <br /> perlorrr,ance o/tOnSVoctinn That�am auLhonzed by!he cwner o��hu pro�,orry ro perfam the <br /> wovk io�wn�ch app6cation is made end!tompiy w;Lh fAa Sfate ConVactors Law 18.27 RCW antl <br /> 296. QC. � <br /> I S�gnawre � �� ai� � <br /> i i <br /> �_ I <br />