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i <br />� ELECTRICAL PERMIT APPLICRTION <br />' CITY OF EVERETT PERMIT SERVICES <br />, 3�00 C[DAR STR6Ei�, EVLRETI', V/A 98201 <br />��25-?57 8810 - FAY 425-257-8857 — t^r�V:v everetl�:^: a org <br />I <br />� 1z1Qo-5 I�' �o�, si. — --- <br />� PROJECTADDRESS <br />� . <br />rtity Ka� �_G��-�� r��..�.., � ��,.------ -- <br />' p�r,ner 'r,lail Addres, C�ty <br />i <br />ienaN <br />!.1dil Atldtes; <br />Cd� <br />i ,� <br />i (,JGS'e� ���`7✓U�-U,c,.--GC3Z 97-5�.,�/E- <br />EIecL•ic�l �r�has'cr � '.1ri;�:i:�.,-.; �..� .... <br />(.JCS � �•�� �3�, lc.c— - -- -- - - <br />:tala License IJumbcr <br />I `r:cscd lJse cf 9udding <br />I��� <br />Syua�e feotage (If r idential new conslruction, remodel cr admuon) <br />>:�imber of devices (If low vollage) <br />State2ip <br />5�]'.e/Zi� <br />��a;P!Z�p <br />�-..; iy P°c� ���. <br />Contacl Pzrson (Plan Review) <br />I - <br />, I;ascnption of'r/oik la �e Done. _i1%l...J __�Q.�'�ne_� Q�'J� �'�� � J`- _— <br />phenc <br />F^ cc <br />S� fl — <br />Fncr.e <br />i PEE <br />� CITY OF EVERETT IOCAL SAIES TAX CODE IS J705 QO �� <br />� 1 he�eby ceih(y (hat I have read and e.ramined this tvpp; c+�iron nnd kno�v fhe surne lo he hue and _.. � ----- <br />� r,onecL r111 provisinns o/la�•is and ordinances goveming tfris (ype o! �:o�k ::ill be completeJ -- <br />i ,.hefhe� specilicd hciuin or noL Tne yranfing ol a pemu( does no( presurne fo 9ivc auU;onty lo pERMIT« <br />� v,olate orcancel fhe �:rovisions o/ any ofhe� state orlocal fa�v regulafing consfnicfion or Ihe � I� O, I�/�_ <br />� peAormance ol construc(ion. T/rat I arn aidhonzed by fhe o:•mer ol (his p�ooeAy (o perform ffie l(J <br />�,� ork lor �•:hich applica(ion is made and I comply w.dh Ihe Stafe Conhacfors La�v 18.27 RGN/ and _ <br />,'96.200 DVAC. <br />-Z� -1 <br />