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ELECTR�CAL PERMIT APPLICATION <br /> CITY OF EV�RETT PERMII" SERVlCES <br /> 3200 CEDAR STFEET, EVERETT, Wq 98201 <br /> 425-257-8810 - FAX a25-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE qCCEPTED FROM 8 AM TO�pM <br /> � ���- ���' f��� S� <br /> I PR0.JECT ADDRESS <br /> � L�,�1��� "2� � 9� �I .� � G� / l�/ " ���� <br /> Owner Mdl AOateas CiN S <br /> PMne <br /> Tenan��Mvl AddrCas <br /> �rtY Stote/Gp p�� <br /> P���ls � �f�, �� �20.5 r� �' � w/.v �0 2 <br /> clearicai Cantractor Maii Addras C��, s�i�, �n�,F: <br /> rec �e� ��y� s � %��" <br /> G�te licr.nse Num[x;r Contrac!Price of Work <br /> �U.� G�/ r� e � C'D�I ��f�c� � <br /> Proposed Use of Bui�d g - <br /> Caata Person (Plan Revicw) <br /> �D� <br /> Square Foptagy p(resiAcnlial new conswdion, romode�or adAeion) <br /> Oe.wiphon ol Work to Cie[k>rr_. �� r " � Ser✓i c� - N� �-17JL<� <br /> ` � � <br /> NOT@: WIRING IN NON•DWELLINGS IS Rf_QUIRED Tp �E <br /> BE IN RACEWAYS, MC OFt AC CA�LE. <br /> CITY OF EVQyET7 LOCAL,9aLE3 TAX CODE Is 3tpg ��� <br /> I heroD.Y�wrthy tApt I hovn ruad and exumrned fhrs upplwpGon and know the same(o�B tn�e nnd <br /> oom�rt. M provi;Jons of/aws and orUinances e <br /> whetl�ar , 9�+'emm,q this IYP'J�work vnll fm romptetvd � I � �l_ , �f <br /> sFx3ct(ir�d hwein a no7. 17�e gran6'ng of a pomvl does not /c:_�ums fo yivc r,�thavrty ro l�J `� <br /> vidab orCance/fho rovisqns ot em oMes stale ar/ocat fa�v rogu ebrrg cnnstrud:bn or N�e <br /> poAwmanco W oon��aa,. mdr�em a„u,cvsZ�aY mc�,��.a�mr�proparA'to verform Nre <br /> work for wh�ch oDP;rcatlon is made and I compry vnBi the SYatri Con6trdors Law t8 27 RCiNand <br /> 296. 00 WAC � <br /> � ' � �iV � (D I � <br /> � <br /> �n�1�e Dxie <br />