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ELECTRICAL PERMIT'APPLICATION
<br /> CITY Op EVERETT•PERMITSERt%ICES'
<br /> EVER 00 CErTr STREET,E�;FRt t t,WA 982Ik1
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<br /> PRCt EGT; ITE,I N111 ORtMATIOON
<br /> PROJECT ADD kESs • a '4' 4- i�v.. Irtilii ilitfG / sq ft
<br /> PRQJ;E6T TYPE. D NEV•I C. ' '' CTI. • C .AbDirioN .Cl TENANT IMPRQ�NT• a F MPl EL C(I
<br /> EttilLgooC,USE` ) SFR.. C:i'xt ' ' ' '',SE 9 DUPt EX 0 Abu L=1 11� �t it Y ; epi=t r rs fl i Ror• �
<br /> IElII.1 C?RNtCAI, ANS N.t tfl'tY'Nai NI'#> on ATIOW&, > C .,Tit
<br /> ASSOCIATED BUIxItltf 1PERMtT 3f appllcaibie:
<br /> CONTRACT PRICE?CIF WORK (j. .." 1.
<br /> D SCRIBE SCOPE OF WORI'C: . •U 6 , st.A a „,.. ..'..c.';'.4.4,
<br /> HIS INSTALLATION IN IUD T',HE F OWING COPE'(SSELECT ALL THAT A PL-
<br /> tit© .'''.":tail.,.. ES�Select;Scope'0 Service: 0 Feeder ( Crcufts=t., 1 [act,- rraprete R rice
<br /> 6.IH1E;t�t?1.fia5�E WC)t ..� :_ ,.
<br /> rave VOLTAGE WORt£ { .NO D*Es,. if Der ices:
<br /> �ELEEGT;Si:C3•PE{LL REt�ttlRE��
<br /> El beta 0 Intercom fame.
<br /> Thermostat Q Audio Ci Secure Access: d.Security System
<br /> Q Fire AC •m•t tnstaliaGons und•er.this.permit;t�'tty ithclEfde 8teatrtGSt wtrit g..-;toa.+gh lri of the sysitern,+4'.additional
<br /> Fite Aiard'r Permit is required farteVIg of dev loe_tocatigta and irtstatlation appt fall.
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<br /> .., s C O•DE C:OtII Nal NCE
<br /> laa I~FIIS PERMIT EDUCATION INSTI UTIONAL I4EA4!IN ANDI•OR.P i NAL.CARE FACfi.ITIES; NO d Y . e B l*w°&Pg.2
<br /> Dter checking eiNAniS. ox.I•am TioN9i have read=and understand all.of WA '29,51 8.tiG,select�ed:the specIfiicti is that da E
<br /> Sea Page X requite Plait Rev ewr
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<br /> Fal rtaraar t # 1528261,pfcpetty owners anal 1+ elaoddefs t luno#perform ctrlcat t�on;buildings for rent;sale,+ar``lease-
<br /> wr#tout:ttre pcoperelectlt*l IIosnsirrg an4eetti icattcitr mption By'cftiecicingrttai• bolt,I'am sating that t;it completed and
<br /> t 3 signed the AFF tDAVIT page 3 of#hiS application to r ss eri aeltfphon x thrsltc nsmg(caroti acatron req remenat -=
<br /> M h- .4 CONTACx i FV-dill r t' �.. ttn:
<br /> OWNER t AME' '� tg TENANT..;BttSINES NAME(!if'Commert'riai:'
<br /> OWf 2R MAtl.IN+ta ADDRESS,: 71 s ..1,1„,„...,...:,....2, „,,,t16. „. s `v - ”
<br /> O*N ' PHO -2..-44:: ::°57.41:.
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