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x253a P. 001/001 <br /> 06/02/2013 19 47 <br /> i <br /> • • <br /> � ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 CEpAR STREET, EVERETT, WA 98201 03_�� , <br /> a25-257-8810 - FAX 425-257-8857—www.everettwa.org 6` <br /> �-,�� fT- (�i 3 ob-op� <br /> . ����� _ y�.5� <br /> ? �� .� � i� �,�� <br /> PROJECT ADDRE89 <br /> j�—�i.F� ,� �S/`/ 2�-����, M�+wYrv��K ��.2 �fi <br /> Ov+�er , h1911Add�ess Ciry SWto(Zip Pnono <br /> Tenant Idnil hdd�ess Ciry Smm21p Pnono <br /> E�'�. ,n�n ('� ��o� ��.V �.-t' -fi"�O �'�/ �'� �Sf�Il/ <br /> EiectricalContrudor MallAudruoe Clry S�olo2p PhonO <br /> �YC-��t/S'�/ S�'�C/� f G I�- G � t"� �� <br /> SIAtO Liwnse Number Contract Pnco of Wor1c <br /> PropOsad��8w�g, Contoct Person (Plan Review) <br /> Squaro footoyu(If residantial new consiruclion, rnmodnl or addit�on) <br /> Numher of devicq.(I�low vollapa) <br /> Docuiption o(Woik to Ba Uona: / ���1/.[�S�r��a2..(�'=----- <br /> /Vi a <br /> � <br /> iee�� m a� <br /> CITV OF EVEREIT LOCAI.SALES 7AJ(CODE I3 3106 "� <br /> I horoDy wrtity thut I hdvo read pnd nxartunad Ihis opplicnfipn ond know the aumo fo Do fru�und .� � <br /> conucL All prov�sions o/laws An0 ordinonces govominp Jhis typn oI work w111 Ao tomplofod ----- --- <br /> wholhurspvG(red huroJn o�noL Tho prontmp ola pom�if dm�s notprrsume fo glvo authority ro pkRM[T� <br /> violotu or cencal tho prov/si�ns ol uny other stafu or locdl Iqw rv�uloGng consWcNon nr fhe <br /> pedormanco ol construcGon. Thnt!um iwthonzod by fho nwno�u/(his propnrty fo pnAorm fho E I �D�.� Q�� <br /> work!or which�ppb �t n is madu und 1 comply�vith Ih�S(utn GontmcMrs LOw�8.2Y RCW and _.__ <br /> 29E.200 WAC.� ' <br /> u �� <br /> rt- <br /> �kt..5� � � . � l <br />