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OR-04-14; i1 :44Ah1; : 20A 777-7760 � 1/ 1 <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> � CITY OF EVER�TT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERET7, WA 98201 <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org <br /> � --� -�1 �1 <br /> �/�o�.�� <br /> Ily 1Q IQ�'' AU� � <br /> PROJECTADDRESS �OOS�4�OOIQI (Q41 � • <br /> � � • �a� �a r � �' —� Gq�t�s 4�i.336.a <br /> O�mer 6Sa0lvldress Cily Sinte2p Phorre <br /> G � v�a Latl-�� � <br /> T0nan1 Meil Ad ess . City SlnlafDp Phono <br /> �mp��c���X 3os� ��n� ww qa�i� �rns��� <br /> EleGttltal Co�Vectof Mall Mdro6o Clry SlaldZlp p�pp <br /> -�,��„5 � ��`l lo , �c704. 5'-� <br /> Stalo Llwnso Number Conlract Prlce of YJork <br /> Proposed Use ot Building Contoa Person (Plon Raviow) <br /> C i <br /> Squaro Footupo(If rosldentlal new conslruGlon,romodel or oddiUon) <br /> Numbor of devicos(If low voilage) <br /> DoscripGan of Work lo Be Done: ��Tc.� ,l � (� 1�fl q ��Ly"� � <br /> '1l� CQ(`�[` OV�O ').,���P <br /> V� <br /> FEE �CITY OF EVERETT LOCAL SAIES 7AX CODE IS 310� '�U, � <br /> 1 hereby ceAiylbof I have�oad and exomined fhis applicafion and know IY,o same fo bu froe and <br /> canocL Alf provisions o/lows ond ordinnnces goveming lhis typa o!wak wiil be compleleJ <br /> whefherspeclfied hcr�in ornot. The pr�nUng ota pennit does not p�sum,e fo givo authoAty fo pERMITft � <br /> violele orcancol the provisions ol eny o(herslnlo OrloCal/aw reyulafing eonstiuction orfho � I 1 ' O(� ' D^ I <br /> purfo�mnnr.n o(consfrc�dion. Thnt I am q�tharrsod by tho awnerof fhis pmporty(o pedonn fhr. 4 b L <br /> woik Io�rddch npP�lcot'nn is mado nnd 1 comply with(he Stafo Confractors Lew 1027 RCW and <br /> 296.200 WAC. <br /> . / <br /> � S o��,L J � ����I,�_ <br /> �+Evrs[o»on� � C `_ o�iJ(� ���T� -1 Q I l �Y li'1��.��_l..U� <br /> �� Vt�-evl,�. <br />