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Jun 09 06 IIs58a SUZETTE NI[LSOn 3606548987 p.l <br />ELECTRICAL PERMIT APPL_ICATION <br />CITY OF EVERETT PERMIT SERVII:ES <br />3200 CEDAR STRE[T, GVEREIT, WA 9ti201 <br />425-257-8810 - �AX 425-257-8857 - www.everettNa.org <br />APPUCATIONS ARE ACCEPTED FROM 8 AM 70 4 PM <br />PROJECT ADDRESS <br />� —os <br />� � <br />.�' -�-`� � � � - - � � v�. �"�,s� t: E' I.«-�Lt .�j �(�' � <br />Q�y�qf �7J��IAtlOrn:s Cily ildlC:Lp PnO�e <br />Ten�nt <br />[lectrical ConVaclor <br />cunnomess <br />61aJ hddie•ss <br />clty <br />Gty <br />.. ;iLtle.'[i0 <br />stato'z�n <br />Fhone <br />Phorw <br />Q—�= <br />�_c��.m l� l 1 S-��'�� �=v <br />Stato Liccnse Num �r.r Conii att Pn'o o� Work <br />•:�v����,� s� � � - y a� <br />Nmpnsed Uso ol UuiWing CanLicc Purson (Plan Ruvicw) <br />'�,� <br />Uascriptiun �1 Wc��k tn lir. Dc+nr: ��l[��1Q_�S���P/� 1 _ <br />r- <br />NOT[� 'JVIRWC IN NON-l)WG�LINGS IS R[(]UIREU TO <br />pE IN lil�CLWnYS, MC OR AG CABL[. <br />CITY OF EV[RCTT LOCAL SALES 7�AX CODC IS a105 <br />F[E <br />�� Sy-- <br />1 he�eLy cnr7ify th+if I h,�ve ruod snd ernmined7hls �pplication ond know fhe some fo Ge fn�o .��d <br />connct .11! piowsror�s u� �aws nnd orclinanees g�vernmg this type o/ wark wtll bo compictcd <br />whe(hor spcGhcd herr.m nr not 7he pranrinq nl o pc�mrf does nef p«�sume fo give authnntylc <br />vi0lnle o�Cnncel the prows�ons ol nny n(hr.� sfafo or Iecallaw rcyu/a6ng Consfrucfron or fhv <br />pr.i/omiance o/ cen;tr, �c6on That I am authorirnd hy tl�e u�rne� el this property Jo perlorm the <br />work for �rhrch appl�cnJen �s matle an01 cempiy wi!h thr. Sfafa Controc(as L��v 7ft 27 �iC.'Y✓ ar d <br />asc.zoo v��nc. <br />' � � i <br />\���,awo - l ������,-- Dafa��--- <br />� <br />; <br />����� � <br />l _. <br />