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?HN-�7-cCr��9 19:53 From: To:c57685; Paee:2'2 <br />ELECTRl�AL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA P8201 <br />425-257-8A10 - FAX 425-257-8357 — vn�nv.everetlwa.org <br />APPLICATIONS ARE ACCEPTE� FROM 8 A�9 TO 4 PM <br />�SI (o �Q.S� � � �'i'✓(¢ �i P� �t'i�/L <br />PROJECT ADDRESS " <br />O�ener AtailAdarr,5s ` r��� <br />An-�ir,— _ n _.,. <br />Tenanl <br />.Sc>n� {r� ( P�c:t <br />�tail nddmss <br />aa.�i ��.�, <br />tioctncm contractur A1�11 Addrexe <br />SaNrTP�-�j�d'��7 <br />SIAIe Llcensc Number , <br />�'�1�,�" %Ll�a'�Yl i � �('i�� <br />r�ro�osea use o, 8ul�du,c� �7---�� <br />C)escrlption Of 1Nork to 8e pone: _' _� (,�J V L'1 I <br />Ci�y <br />Ci(y <br />-C <br />�=�c�`�c� � _��.�' j <br />Slatc2ip <br />� S�aiNz�p <br />� ti�A- c��Ol <br />SfatN,',ip <br />rnme <br />, 1�� f-honn <br />M <br />PhrnlC <br />Cunlracl PriCc of Work ` <br />� ���� <br />Contact Forsen (Plan R���i��v) <br />NOTE WIRING IN NON-DW�LLINGS IS R[QUIRGp TO <br />BE IN RACE�VAYS, h1C OR AC CAB�E. <br />CITY OP CVERETT LOCAI_ SALE3 TNC COU[ IS 310, <br />i heroby cnriiry �h�f 1 hovo read and oaomrncv (h!s apphcatlon and kno�r fhe seme ro be true and <br />vhetl er speciGnd hdrpelq/ or�not n�he �� Antrng cln p�ormrl doas of�pjres mn�tot9� ��r+r fhunry fv <br />peAem �nce clCenslr, ctlon nTli it ! am a�v7hnrAto� byothy �o� nmflcl�fh � prcpnrry fe pcilortn thp <br />��rork lor �+�ryich e�pplicatiun rs made �nd ( compl�� �iv(h (he Stale Contr3eters L,i�v 19.27 RCby ana <br />T96.200 v�C. <br />reE <br />1l �l �1—���n % I I • L_— ��7" <br />�1�.� I�Q�.-L � V�. UatcY .��_ �� 2 � <br />1 q' p(��� �� �'i� �}- ��� <br />- ��Z � --� l I - � 5 � 1 � <br />