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Nov 03 09 04:13p p,Q <br /> � � <br /> �- <br /> I <br /> I ELECTRICAL PERMlT APPLlCATlC�N <br /> CiTY OF EVERETT PERMIT SERVIC�S <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-2�7-8810 - FAX 425-257-8857—wwrv.everertura.org � <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> �1 , � - 4� Su; -I I <br /> PROJECT ADDRE <br /> (��t��-z r,-�.� I`��'1 i3 �`�e,CP ��ver�I�T 1-!,,.7Z� ���}'�wt <br /> pW,syT mao aaaress ary s�a Ph� <br /> Ter.ant MailAtltlress City Sta[elZip Phor�e <br /> ;i � ,�- — .[ � �"���3:�-I-6�:>-! _ <br /> ,\,�t7�� �l�•�-�-� '`� J-y^! L'l��r�-� �1��2ij � �.ii �/ C��..F"y,�r �•�.i'� �tj':7'',��: <br /> ElectrialConlrz^tor M1taiA�dress C:ry Stale2�p Pho�e <br /> ��i��' �:r ..L� i�i' �ilj � ` J�V�.� <br /> Stste License Number Con+.ract Pn�of Nhrk <br /> Propesec iise of&rildirg Contact Persan (?lan Re.•�ew•) <br /> f ^ �,p '� rT\�`\ <br /> OascripUon of W�rk t�5e Dur�: `��� l� �7�� f <br /> ( .7 (��� tG � � �}L I`P Il t_ �C � N`"�\ <br /> �_—� `—� ✓ <br /> t.OTE: YViRlCd3 Ifd NON-DVl_�_UN3S iS REQUIRED TO F� <br /> oE IN RACEVYAYS, fAC OR AC CABLE . <br /> � CITY OP EVErtc.'T LO�:,_ SALES T?,:.CGDE IS 3�05 �� � I <br /> Ii iere7y certij•th2l i.�2��= r=ac arJ exz�ni�ed this aap.ication artl knovi the same to be n;e and Cjl�'/'_� 1�f <br /> � � �.rrea. <.il orov�sicr of iaws antl orCinancz>govzsi�c:his p�pe s v:o:l:cr.li oE conp'=t=a � <br /> ��m.-a_t;:ar�P�=1f�2C hare:.i o:n^i T1e g:ar,Cng c`� z per•nit coes roLpedscme,�^,v=z.rtM:t��'o <br /> � ���o-aie or c=_ncs:Ne pro�ds�wn;of any cther state or!;acai h-w raguia4cc ransinicJon or tiie <br /> ae�`u;r�ance o�wnstruc'ion. �na:I am auP�ori�d by tne ewner oi ihi�oro,eriy io aeriortn the <br /> a�o�A ro-��mich apah�don is maJe and i c�mply a�ih t-e State :enLactors L�r;�9.2. RClNantl <br /> ��.<�:�'ivn�,,. � <br /> �� <br /> � i 1 ^ 1^ <br /> I '/� � /' ^ �` I <br /> c�-z�i^= _—�`_`�T Jal_ i <br /> �= �• <br /> I ' / 1 <br /> i `�' i <br />