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„ , <br />' .14 2 ''9 4i=+ _�_•.� ect�r <br />„; . <br />,;,� <br />ic.�,,t 2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEIIAR STRE[T, EVER[TT, WA 88201 <br />425-257-8810 - FNC425-257-8857—vrvdw.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Sllfs SourH 2rs� S�: c�G,��Ti �1/a �jg2p/ <br />PROJECT ADDRESS <br />Eyck�rCs�s���� �JoMc�s r��sz�� <br />Owimr A1allAddr[�e CAy SIalMzlp Phono <br />Tnnanl <br />Mall Addrnce <br />Clty <br />SlatelZlp Phono <br />�z��r-r ��o�-ro� 2i�a� 6GY�f A�c c�.l Mou,�r�r.E 'Tt2�c£ G1A 9�Oyj <br />L•ICclfiCalCondactof MnllAtltlress Cdy StnlelZip phone <br />�02 �c�3 `i 9�, <br />Slale Litense Numbar <br />No� sT,-ic, � W or� �,�s /`� �-s szvrf <br />Proposad Use of Ouitdm9 <br />�U19,16 _ <br />Conlred Price of Work <br />!`1J-cJlA E�� , Si��TN <br />Conloct Aereon (Plan Review) <br />uoscnptlonofWorkloBoOonc: GTfsil�� �r-(=<.c�ErsC�/ u'pG-fZAa� <br />NOTE WIItING IN i:�N-DWELLINGS IS REQUIRED TO <br />o[ IN ftACEWAYS, MC OR AC CA�LE. <br />dTY OF [VERETT LOCAL SAL[S TAX CODE IS 3105 <br />I huruhy cedrty (Dn( I have raad and oxamined p�is oppGratrun and know (he sqme !o be (�ua and <br />cam�ct. Fl!I piovislons nl fmvs «nd onld7ancos �oveming this type ul wo�N wiq Ae complefed <br />whe�hor spealled heir.ln or noL 7liu yr.an(ing o! a perm7t does no� prersume fo qivo oolhonty �o <br />vroinfenraincwlfhe pmvlsionsolnnyofhersteleorloca!lnwrogulefingcvnslrudionorlhe <br />/x+nonnnnar n/cvristrucfron. 7hat I nm authon.ed bytha otvneroffhrs propoi}yto pe�fom�lho <br />�rork lui �rh�cli applitnfon is mndn anJ 1 r.onvply a.;P� fr,,, Sfefe Conhactois Law 10.27 RCW end <br />296.200 LV�1C. <br />�j��' �� 1 <br />