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��.1: 1���.��.'��1 _� �n��: n'.' a��C�a�,:64320 HILL ELECTRIC PAGE Ci2/02 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CF_DAR STREEI', EVERETT, WA 98201 /!�// �� <br />425-257-8810 - FNC n2,-2,7-885� — ww�v.everettwa.org 7 6 <br />��3ay`�°`� <br />=1 I I I I 2�`� Sf S E <br />PROJECT ADDRES3 <br />O.vner ldaitAddres. � City �talr2lp Phone <br />,3 O �n — S50 —OCc �- ( <br />(���Ic �i-u r Tn (� r`� I I I I 2.th �� S c. E�efe I�- vJ� �1 ��-o � <br />Tenent MoilAtlCieee CAY Siale./Zip f PhoO' <br />-i�.'� -y C�5—�i.,a � <br />��il ��tc�Y�Corpefa�;or1 1�0 Q�OX Io�S �n)oocl�n�rlle �nl�,....9�'U3-> <br />EiaeVkaiConUaetoi A1aIlACCmss CNy Slate/Z�p Pnone <br />NIu_�C �o�i5�-� <br />smte Licenso Numbor <br />Ihp�:�used Usr. o( Building <br />syuare Footage (II rr,s�dentlal new constructlon, mmodel or oddit�on) <br />� NumNer of devices (It low voltape) <br />[�uscnpUo� uf Woik to Re Uone <br />� 11C�.,: ��rCLl�1`� Vv'� <br />CITY OF EVERETT IOCAL 9ALt5 TAX cOUE IS 3165 <br />`�'J ► , o c;.�,� <br />Contract Pnce ot Wcrk <br />Contnct Person (Plen R�:v�ewj <br />�' �Ck] �� f�(l..�c� R�Pc�'� <br />� hcreby certify the�t 1 hnve mad and axammod thrs appAcafian nnd kno�v fhe sOme fo be tnie end <br />c��recf. nU piovisions ullaws and ordinnnces goveming fhis rype ol wo�k wiU �e cemplofod <br />�,shether speciNed lrerein or noG Thr. �7ranhng ot a pemtit dces r.ot prosume ro give �uthonty to <br />vrulafu nr cancel Me provisions ol any olher sfate or Irxel Inw reyulafing construcfion or fhv <br />perfonnance ol consfrucfion. Thaf 1 am authonzo0 by thc owne� ol this propeity fo pedorm fhe <br />�rnrk fnr �rhich opplicefion i9 made end I Canply wlth the State Contretfors Lew 1027 RCW end <br />:9G2C0 IN�C. <br />�� <br />i:EeiSFJ ]:0'•d <br />FFE �-lZ `"> <br />PERMIT# <br />E � 3 (:� �- - ( C% `� <br />