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-- __,_. � <br /> ELECTRICAL PERM�T APPLICi4TiON <br /> CITY OF EVERETT PERMIT SERVECES <br /> 32D0 CEDAR STREET, EVERE77, WP. 98201 <br /> 425-257-8610 - FAX 42rr257-8857—www.everettwa.org <br /> APP�ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> lQ 0 ,2� �y�' �ve J�" <br /> PROJECTAD�RF3S <br /> L����� 2g � � ' .� � � / �' g��� <br /> G�.K�er M.iilAddroas CRY S Pho*�e II <br /> vV <br /> Tenant , MoilAddress City SWMlLp PAone <br /> ���l�lU� �/�'_�/'i/!�2�5���//����h�/����'�'��2 � <br /> EICCttiCi�l CqnheqOf Mail hddress Ciry �r�Zrp phor-. . <br /> �reGl�e ��yG � g /2 � <br /> late Uconse Number cornran Pnce oi worx <br /> 1 V� U/ r� e l ��i ��i�,,� a� � <br /> Propose0 uso of B �la� g �' Conta Person (Plan Review) <br /> �-1 1) <br /> Square Footage Qf residential new oointrucpon, remodd or addRion) <br /> DesCripllon af Work ta �e Done: ��1�Z1���Ti <br /> � —i--� <br /> NOTE: WIRING !N NON-DWELIINGS IS REQUIRED TO FE[ <br /> BE IN RACEINAYS, MC OR AC CA�LE. �O� <br /> cmr oF�n�ocq�s,��s rnx co�e is a�as <br /> I boroby certi/y that I haw rnpd and oxorrunod Lyis opplrca6an ond know thv seme fo be uue n�xi ' <br /> crnoct. Al/pro�sians ol/sws and o�dinonces gowming Nis type o!wak wi//De comp;etoa r l30 � _ D�� I <br /> whether spec*fled herern or nd. 7lra granting o!o pemvt does nol rostrnn fo grvo auMoMy to l� <br /> vrWpro or carra+)!he provisia�s ofany ofher stetn er local law requPn,��«,�,�a me <br /> perfwmr,nrra�'wnsUuction. That I am authorized by ffie owner of Uris prope�ty to perlam the I <br /> worfr lor wh/ch appflC&ti0n i5 made and 1�ply troiUi fho Steta COn6adas Low 1 B.27 RCW t�Md ' <br /> 296. 00 WAC. <br /> � t � �� <br /> gne(ure att <br />