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I i <br /> , ELECTRICAL PERMIT APPLICATION ' <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 3?00 CEDAR STREET. FVFRFTT, WA 98201 I <br /> 425-257-8810 � FAX 425-257 9857 - www.everettwa org <br /> I <br /> E/SOS ��7 <br /> , �1� / ��/'�' ,�.� S�, s _ , -� 5 � <br /> � <br /> PROJECTAUDRESS <br /> .�� �,��-4 (,, 14�, r �, � ��s 1G�r� S� s �. ����.�r��-( �l��08 i <br /> OvmCr Ma�l AAArrsv Gty Slate/Lp V � i <br /> yd5 3s"r �'{�CI <br /> _ I <br /> i Tenanl Mad nddrrss C,ry S�a�r.2ip Pnone � <br /> '� � � � �sc���S �1.�st ,�, I��j3� S�� A,�e. N�, -�/� ! ��3 <br /> . Elecinral Contrado� lAa�l AAAiess r_ Gry Slalrllip y,,,� �/-��" <br /> �t / �j � <br /> S}�an(NNHK��.1 t� ���3�6,� i <br /> Slate License Number�requveA) Gh uf Eve�ett 0dsiness License Number�reawred� . <br /> ���' . �r�Z � <br /> , <br /> 1'roposeA Use ol Bwi in Contrar.l Vnce o�Wo�k j <br /> �r ( ����� �� I <br /> �l�� L�1. ._�-��� �—t�'��1D��'�>:�� <br /> Square Fnalage UI resiAenliai new constn¢lion, remotlel or atlditwn) Gorflar.l Pci nn�Conlad NwnberlF inad <br /> I <br /> � Number nf de�c�s(II low voltage) <br /> � <br /> Descnption of Wolk Io Ne Donr _ ��,�f � '�.j< ���,{.��_�.�,(��_��f�__ .�,(J_�____._ <br /> T <br /> --�1�- ----- -- <br /> rrr � i <br /> � CITV OF EVERETT LOCAL SALES TAI(CODE IS J105 �/ /O�j I <br /> \/ <br /> I hereby certAy thaf I heve read and cram�ne0 fhis appl¢ahon and know fhc same fu be fiuc and __ ___ _ <br /> � correcf All prnwsrons ol lews nnd ordmances govemmg fhis typr. o!worM wrll De con�p��!ed <br /> whether speafieA he�em nr nM iAe gran6ng o!e permrt does nol pmsume fn grve aufhonry fo PF RM f�!f <br /> violafe or cancel the prowsmns o/any ofher sfele o�Iceal lew regulahnq construr.bon or fhe E IS ��5 - U U� <br /> � peAoimence o/conslnuhon Thaf 1 am aufhon7ed Ay tAe owner o/fN;pmoerty fo peAorm fhe <br /> � wod lor which eppbcehon�s made and I compty wdh the Sfate Cantr,�cfers 1 aw f8 77 RCW end <br /> � ?96 700 WAC <br /> i <br /> -�� -��'� <br /> �� - - - - - - -----_--- <br /> � 5 w, ----oaie � <br /> � ,,,�,.:rr.�x.ws^�„ I <br />