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Faz: <br />U <br />� <br />Nov 20 201d 09:ddam P001/001 <br />ELECTRlCAL PERMlT APPLI�ATIQN <br />CfTY OF EVERElT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREfT, WA 96201 <br />425-257•88�0 - FAX 425-257-8857 — www.everettwa.org <br />9 I 2 I �'f1'c�r'C�+� l.nicx'u1 <br />-- �- <br />PRW ECT ADDRESS <br />�a5�^y'�en �^D�l <br />Q!i <br />92s �;ke s� <br />A1ai1 AddR53 <br />992� <br />1Ndi1 Addiass <br />Gty <br />c+�y <br />�✓� _ %8��� c6m)3L`I•9� <br />S'�tslGp Fnona <br />i� 98 zo�l , <br />sme/Dv rhone <br />�� E�tc}r'c 13301 SE 2�� St p Il�VU[.. w� 4�5 Nvi-747-Sx <br />Eleclncai ConVacmr Mao aaarau �y S,��P p� <br />P����n3y Sr. <br />State Licensp Number <br />a���ti� <br />Prnposed Usc of B- ifg <br />Squaro Footage (�f residential new cor�t�vction, remodel or 3ddition) <br />Numher ot dcwices Q( low voHage) <br />Desaipaon of Work M Be Done: <br />— a o� � 11� 5820. � <br />CITY OF EVERETT LGCAL 9A1.ES 7N( GODE IS 3'106 <br />,� � So <br />Gontraq pricR o! Work <br />Contect Persa� (Plan Reviaw) <br />C�/'C Ki �' fp(` A COplGfi .�Er ?_S <br />/ hereby ceifify Na11 have �esd and aramined Uris epplice6�n entl know tl�e samc W 6o tr�e nnd <br />COnect All pro�isians of laws Bnd ortlinsnces gov¢minB Mis Qpo of wwk will be cumplafod <br />wMotl�er Sp�ed herein a not. The gran6'ng oI s penn? Cocs rwt pre;unw fo give auNonty to <br />violat¢ or cance! (fre pro�dsions o/any o1Ao�s7ete oriocN lew rog�Aa6iy consWction or (Ae <br />pe�lormanc9 0l mnstrvc6on. ?h&t 1 un authorized 6y the ownei of (h/s propw� �o perfam tho <br />wak for wHich appGcotion is msde end I complyW7Bf fhe Stste Contrr,rlors Law 1 B.Y7 RGW ond <br />296.200 WAC. <br />RE�SEOY.049 <br />FEE <br />PERMIT# <br />E �yl l- I(��r <br />