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n.1�n0-:On13 1::n1 FdS Ia:5Jfl;006n GEUDIS ELECTRif <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAF2 STREFT, EVERE??. WA 98201 <br />425-257•8810 - FAX 425-257-f3A57 – www.everettwa.org <br />�ooa <br />APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM - DEBIT 6 CREDR CARDS ARE NOT ACCEPTED <br />I�j(,`�—�I�-'�i\ I)�, /71�J LC`rtk Li• �V.'.G:'+:� (� IG•.Ci�`���''� LIi'G:' J <br />PROJECT ADDRESS 4� <br />{�.� <br />1i1Si.,'1 2'i11E—�--IC1,.)i �U=�J�-�_i.f•{.�G<.; lt,�:�-y_l";_���%�<it (.�,IF� r��f__,/ !�n�.•�f�-�'f,�i�� <br />Chvnxr M:111AOdfC58 Uty SIa102�0 (M10M <br />TenaM Mail Address City SqteZp F�hpw . <br />'''. C�UI��l�� L � �1-�1C S`- � . � �i< ..i. � � ���'.f•,��j' �.n["_�� _G <br />�( ¢C��l��. �:�.��. lJL1/h.iv� r�.� �,1Jir-i.ul.J �,Li, !"9r✓� �J 7� ,/,�G•l� <br />EItl4t11F31 (:OnhacWf -T-- M0d /khlnra Clty S�Ir.lZlp Plu�n� <br />L L'� iJ i�� i=. -� � i� �/� r-(� <br />SUIo License Numbe� - � <br />r � <br />�V11�.y�'�1(. �':i.i�4l� �t:l'•"1�1=L(�� <br />Pmposetl Usc nl [iulWinp ' ' <br />Oescnptbn of Work to 1'le Duna: <br />� �„(,; : �'� I c� t. . t fT �� � <br />NUTF.• WIRING IN NON-DW .F.LLINGS IS REQUIRFD 70 <br />RF_ IN H/�C[WAYS, MC OR AC Cl�pLL. <br />CIiV OF �RETT �OCAL SALES iAX CODF IS 3705 <br />�--_^_1"L�'� �� � ----'_--- <br />u,nug�� rac�e or wurk <br />L� ' i <br />_ /V�o�'I.C�.I.� �'L'C�t�rJ <br />Contact Pcrsan (Plsn Revicw) <br />I heiub y r,r.Ri1y (hnf 1 hovy mn� enA examinrA fhls appllr.ntion anJ know Ihr Same to Ae true anA <br />�� nn+d. A/l pNvrs�uns nIlaws and oMinanccs �overnrnq thls type u! �voilc will ha comp/efv.rl <br />N'heNxr �pnrJliOU hd�rin nrnvf. !Im grontin9 01 n pr.nrut O�x�s nM presume to give eufhorlty to <br />vinlafo v� wnr,M (be �roNskms ufxny orhm stntu u�lxei luw rngulnGnq canstn�oli��n ur Ihe <br />pnAM112neC ol r,pnstrudlon rhal I eim adhw��od Ay the �wnor M tl�is p�uperty M perlorm fhr <br />wurk lur wbkh eppiice6on la made anU I r.om�dy wrfh NC Statu Canfrncfurs Lew 18 27 RCW nnd <br />29ti'llXl WAC. <br />L ��_ � tf t !��' �� .��-:l,�x-'..,; �. -/i/. //, � , <br />- .. � <br />Sipn7h�. '. -- ..—' __ DafO�-�— <br />FF.E� <br />F , n � <br />���1�1�r ���/ (�. <br />