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E��CTRICAL PERM�T APPLICATION <br /> CITY OF EVERETT PERMIT SERVlCES <br /> 3200 CGDAR STREET, EVERETT, WA 98201 <br /> 425-257-8870 - FAX42S257-8857—www.everettwa.trrg <br /> APPI,ICATIUNS ARE ACCEPTED FROM 8 ARA TO 4 PM <br /> f D� / 3 /z �'' �ve S �" <br /> PROJECT AdDR�SS <br /> L���� 2g � .� � � � �/ w� g��� <br /> pwner Maa Addmss CAy St P� <br /> �lV V <br /> TB713nt ..._ Mail Addic85 City Stale(L� P�� <br /> Pi'��1����r�� �2o.s�Qr�����������w,�v���ozz <br /> EloeUiml Contrndor R4oil Addrms Ciry 54ite?� Phone <br /> pre� ��e �I�y� � <br /> tate Licanso Number Convt {Pricc ot Wwk <br /> U� �i�/ �!� � � l'l�1'1 (�jiryJ Ol�l <br /> Proposecf Use of ild� Cora Person (7len Review) <br /> 220 <br /> SQuare Footx�e(It residontial neui constnxtion. remodel or addAion) <br /> De,cription ot Work to Bc3 pono: � � �� V/ h ew ��`f��L��/� <br /> � �� <br />� <br /> NOTE: WIRING IN NON-D1N[LLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � <br /> � (�� � ,lC. <br /> CITY OF EVERET7 LOCAL SALES TAX CODE tS 3�p5 <br /> I h�uoby cortify fhof 1 havo rood and nxaminod tnis epplication and know tl�e same to be true and <br /> carod All prtrvfsions Of Imvs and ordinancros c}nvernrng this t}�ol tvak wiN be.cmy�letod _ ^ �- � ,_ � <br /> wfiefhcu spnclfred hemrn or not. Ihri c�ranting o!o pemut does not pr9suirro to grve auN�airy to � .- � ' ,L .� ' L. � � <br /> videte urcnnccl tho provisions a(any othor s1�fa cv Ipcsl lew rogu7o6np cOnsLucticvi or the <br /> perlamancn o�canstrucoon. Thn[I am authonzAa Dy ftre oµnor ol tAis pioperfy to pwfonn me <br /> work lor which�ppllcabon rs made and 1 axnpty with tlre Stato Con6'adNs Lew 1@.27 P,CW ond <br /> 29G10D WAC. <br /> � ��� � � <br /> nmvre ate <br /> � <br /> � — -- ------- — - <br />