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i <br /> ELECTRICAL �rERMI"1"' APPLICATION <br /> CITY OF EV�RETT PERMIT SERVPCES <br /> 3200 CEUAR S7REET, EVERETT, WA 98201 <br /> 425-257-8810 • FAX 425-257-8857—wwv+.everettwa.org <br /> APPUCATIONS ARE ACCEPTED FROhI 8 i�.M TO 4 PM I <br /> 1dbl'� 12-� rfil.�iS��I�' ���..�1Y��1�1���1 � 1 <br /> PROJECT ADDRE3.5 <br /> L�l��� /2g1� ��I `��I .�_- l�l�/ l/ l( k/ ���� <br /> O,�ner <br /> maa naaRss c�v s� . Pn°"` <br /> ` ' /�� SlotelLP Ptrone <br /> Tcnant 1.1ui11Wdrc3s �rtY <br /> P� l`J v G.Cl-�[�/� ��U � Gl��/ (��//�'!!/f�/ �f[�✓���'" l/l/ Phorre <br /> Elocincal CoMrector PAail Acw1reas ��N <br /> P�'e� �ee �I����� � 'LDo� � <br /> bte License Number Contract Pr1ce of Work <br /> L�� w ^� � l C�� ��u� C� Pers��lanRaview) <br /> P�a uso or e�,,d s <br /> Square Footaga(It residential new cortswction, remodel a addttion) <br /> Desaiplion of Work to Ba Dane: �T�/l"N Nu�"" <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLF_. <br /> r(, � :�� <br /> CfIY OF EVERETT LOCAL SALES TAX CODE IS 31U5 <br /> I nert3Dy ceRiryll�r3t/hovo rt,ad and examirted tl�is applicaGun an0 Mrow fha same ro be Inx3 aMl _ . <br /> cunect. AIf p!ovisions oliows and orrJinonces 9Mromiix�this ryp�of urork wrlf Ge,cnmpletoU - -;; _ i �:�, <br /> wfiether speia(ed frorein ornot. 7ip granG�rrg oI e permd doe�notP resunro to grw autho�ity to __ � . . _ <br /> nalate or cnnco!tho Qrovisans o(any other sfatu ar loca!!aw iegulefing cauln�dion a the <br /> puAamanco of oon:3�UGi�on. 7hqt f am authomed by fhe ownorW thi.properry ro pen�r,ma . <br /> work fw whid�application is made and I canpty with ma SYafe Cener�c(as Law 1827 RCW and <br /> 296. -O�V✓AC. . <br /> � ,� � '' 7/ �7 2�l'� <br /> , <br /> ,�,�, A�e <br />