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ELECTRICAL PERMIT APPLICATION <br /> C17Y OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STR[ET, [VIiRFTT, WA 98201 <br /> 41.5-257-8810 - FN( 425-257-8d57 —www.everettwa org <br /> AP�IICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> 12'1� �oo�^ Gf� S.� �e�e� G��e,��i�d 1� <br /> PROJECT ADDRE3S <br /> ' ���� /A,�11�111 I��i 5�1��t�Q��(0, �vL�Lr��17�I <br /> ��� - 1---� ---- <br /> p�yq@� Msil AAAres.� CRy Slale?ip Ph�xin <br /> � ��h�o� Qi2T'hb{o� <br /> __ — - ----____-- <br /> 1t!nan� � � MaHAddross _—�._ . �•dy Sta��l71 Phoiro <br /> Prer,is�m �1�r�_��s �� 'e�d S���uM����� u�a� ���?2 <br /> F_ledrk.91 Contredor Meil Addrese r,hy s�»te�7�p P��' <br /> �eC�e� �8y�� � �_. <br /> Slate L�c;�nse Numiwr Conlrac f r�ot Wurk <br /> � ,�, �i �l ef�d��- -_._ �' P��2��v���--- <br /> I'ro�s. Use nf Hui1N CQn d Persnn (Plan Review) <br /> `2� /� <br /> Syuore Poohrpv pl residentisl new eonntrodfon,temodel o�edAfion) <br /> Uescnptlnn o1 Wnrk lo Hr Om e. _� _�.�_�-__-_ ___. - _ <br /> u ti v✓�G�� y_Uu�rd -1Ve1��.L� mi! , dr� !_-- -- <br /> , <br /> � - � <br /> NOTE. WIRING IN NON DWFLLINGS IS R[OUIRED TO FEE <br /> BE IN FiACEWAYS, MC OFt AG G�BLF.. <br /> CITY OI'EVERETT LOCAL SAlE9 lAX CODC IS 9105 - <br /> r \ <br /> I hereby ceihN that 1 bave rnerl nnArrxnrninrvl Miin npplir.etion end know fhe aomo fo bo true e�d L /. � 1 �i �__.� l (_� <br /> eurreet. All p!v✓isiais of lews pnd orti�nnrnxxs govermrny this type ul wvrk will be�vrrrp7eted <br /> wNrrlhar�rxcfind hnmin o�nof. 1 he qianhny ol a pnmrrt drws nufp rrsume fo giw iuthnrfty M <br /> vio�nle nr r,nnrnl f/rx pmvisiung ul eny ofher srote or local Inw mgulefing arnsWclion nr flro <br /> pu�/umranco ol consiiucfiun Tlref I anr�utlronzod AY�M'�N^�e/��fhis rope�y to pedorm fhe <br /> iwvrk/or whrrh epplicalion�s made enrf 1 cnmpty wrth fhn Stafn C',�m�rnr.Pis Lnw 18.27 RCW and <br /> 29G ' 0 WAC. <br /> ' � � V ��I Z <br /> I Sqneture Dote <br />