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.7an-24- 10 01 : 30P P . Ol <br /> _._. _._..._._._..._t ---.'---^ '- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVf �ETT I?ERMIT SERVICES �S�D <br /> 3200 CEDAR STREET, EVERETT, WA 982a1 � ` <br /> 425-257-8810 - FAX425-257-8857 —www.everetlwa.org �J00/-075 <br /> APPLICATIONS ARE ACCEi�TED FROM 8 AM TO A PM <br /> 3.� �0 1S �' -�i _ y�S <br /> PROJECT A.GDRESS �Z <br /> y�a�� <br /> .�2a'l�'��'� /' G„ I�i7�f1 ��n�- `/3 � '/ f�t'2�/� Gu,lr�' G�:u,uc�oa�..._ G �91j <br /> OwnC� FAail AComss Cily Stata2ip Nhune <br /> Ten�nl �--. . ._- ��:t;,�inddrzss Ciry ..^— Staie�Zip Pnanc <br /> ��'�1�1� .C"r S __.3G6/ �`z !� ,s(v It'%/ �FzGi __ �/'111s y ��4/ <br /> Elr.r.frir.al CoN�aclo� "dall Addiess Cify SlalelZip fTone <br /> ��'G f�N.r.S/�2�f' __...._ <br /> Stalr. lir.nn:g N1101GFf Conlrar.t PriCn of Work <br /> �J ( � <br /> PropoSe� Use of Bui!ding Contacl Persun (Plan Review) <br /> Descriplinn of�A�ork to ec Dnna: /1'�OU/L ) I�{���� /j''{?,f( ___... . ._— <br /> I ......--- ---•- ..._.......__ I <br /> I �JOTE; INIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> eE IN RACL=WAYS, MC OR AC CABLE. �� c' C <br /> I _r <br /> '. CITY OF EV[RE7T IOCAL SALES TN(CODE IS 31D5 <br /> I hyreby ee�ti/y Ihar f tav�rp�d a�id Px�7ni�7Bd(hiS appliCalion nnd Anow 1hB SAn18 (0 bC f/ue end /� j/�/])_ "^_� <br /> CSnrCI All provisions o/Imt�s A�ld Ordin2ncBS pUVanlmy fhis fypu n`�•�nrN Wtll be,C0771pIBfed [� � V�// V'JI <br /> �vhPfhBi SpeG/i2[f hErein ur noL !he grantinp ot a pannrt does not�:resunie to g�ve euthority to TJ <br /> ✓�olnfo nr CanCef fhe AroVislOns ol n�ry ofher sfafe or Iocai law rr.GuL•:fing r.Onstrucfi0n Or the <br /> � pe�dcrmenr.r, n(ConSfr<rr,7ion. Tlrat 1 am authorized by Ihe ownei ul�his Property fo por;orm th0 <br /> � �,.u�k !or wh;ch:,ppl�r.afion is made in�f I compty wilh tbe Sfate Con(racfurs Laev 18.27 RCW and <br /> � 2t;ti 200 LVAC. <br /> 1 ��. / � �Q <br /> n:alUre --_"-. ._.-. ClaliY <br />