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ELECTRICAL PERMIT APPLICAi'ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CFDAR STREEI', [VERGTT, V`!A 98201 <br />425-257-8810 • f=AX 425-257 8857 - t•,hti�v everetti�a org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TG 4 PM <br />213 I � ST S� -- <br />PROJEC A� <br />�, So9�DSc' <br />Cf . 3 - �S <br />I <br />ut��,o. �_��2� m��� c�Pc� �y�2 ��� `�`��g?� <br />Owner I.tailAdCress �Gty � Sla:e�Z�p Pncna <br />� --------- --- --------- — — <br />� fenant Go�P.l:fres, C�ty <br />'�_��«-_I��� e�� �� �� <br />Glectncal Contractor .Na�lad.iress C �y <br />cr�v c o� <br />Sta�e L�cens^ Nurr�hr� <br />PiaposeJ Use of Bui'diny <br />Square Foolagc (If residenlial r.ew i:on:tiuchnn, rcin�"'.ol oi add�l:on <br />/ n /� <br />�escuptiun ol Wbrk fa �e Donr. _ 1�,���1�/V r VI� a V°_\ �_ <br />- �---- ------ --- �--._-_ . .---- - <br />NOTF WIRING IN NON-0WGLLWGS IS ftFQUIRFD TO <br />B[ �N RACF WAYS, MC OR AC CA[3LE . <br />--si�c�2F l2s - i�i,o„o <br />I� U.b� G�I_L— �7_�-_11Uc.vt�3 <br />SIaIrN�.p Phc^e <br />��'W <br />Ccrirad Pnte ol V'�orh <br />Contact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hc�eby carh/y f/mf 1 hare mad and e� amineJ fhis applrrafmn .inJ kn�.iv Ihe s.�mv fu 6c �nio ard <br />corre�f. iUl piovrsruns ollaws and or[linancrs yuvr.rnrng fhrs fypo n! rie; A v�Jl he cvrn�!leted <br />�shefher specdied herrin orncl The gr�m6ng ol a penn�t does no( pmsume fo give aulhonty fu <br />�iolat nrcancel fhe /�rtrvisrons ol any other sfafo cr local la�.v regulaRng consfrt�chen or tlre <br />peA ncn ol constnuhon. 7haf 1 mrr aufhoriar.d 6y flm owner ol fhis property fo pr,i(nrm fhe <br />�•:nAc lo �rhich applicafio is madc and 1 compty w/fh Ihe Slafe Confnc(ors Law fA 27 RCVV and <br />296 20 6VAC. <br />- — � ^r"'.� -- _ - ------- ---- - -- -- - - - - -- --- <br />if[E �� <br />I �� � � � <br />�-- -- - — <br />� I� D�-D50 <br />n <br />