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ELECTRICAL PERMIT APPLICATION
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<br /> C, TY D-: "L-V-7-R-7-71"PERT 3F...--..,RV;CES
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<br /> 323D CEDAR STREET, EVERETT WA 93201
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<br /> (:-)) 4-?5-257-331'.1 f FAX 423-757-3357 1 (7--) Avar..Ta.r3,3@everettittra.gov i www.ewere(tw:i g,Y.ripFrzuts
<br /> PROJECT SITE INFORMATION
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<br /> PROJECT-ADDRESS 2L
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<br /> ELECTRICAL APPLICATICINJNFORkIATION
<br /> ONTRACT PRICE OF VVORK:
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<br /> NUMBER OF DEVICES -,r.low vo1t3,• )•
<br /> FIRE ALARM? 0 YES
<br /> ASSOCIATED BUILDING PERMIT#(;;apoficabIel
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<br /> DIAINHR NAME.: )4, E....-^-" ,C, .). TENANT NAME If C - t}
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<br /> DV1INER P'HD:ii..- : L. - k - ";•.4\., ID-A r.i.IER F.-.T.MAiL: "1. I 6k.
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<br /> 0NTRACTOR PHONE: 5 e, 1 AI: ._.) CONTRACTOR EMAIL: ifir ' a,4 ' .4akJ * ii;
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<br /> PRIMARY CONTACT: 0 OWNER A CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME:
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<br /> I seibb le CONTACT EMAIL: cieto.91". .. 0 ifte,,an •cern
<br /> AGREEMENT.'I hereby certify that I have read and examined this application and know the same to be true and correct. Alt provfsions of laws end ordinances governing this type
<br /> of work will be completed whether specified herein cr not The granting of 8 permit does not presume to give authority to violate or cermet the provisions of any ether state cr
<br /> focal law regulating construction or the performance of construction. 'That I am authorized by the owner of This property to perform The work fcr which application is made and I
<br /> ccnIP-1Y with the&ate Contractors Law 18.27 RCW and 296.2C0 WAG,
<br /> City,cf Everett Cfficial Use CnIy
<br /> PERMIT 41
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