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10-10�200� OD:OJ FdS 1�Y550700U0 GEDllIS ELECTRIC � ��: <br />..-- _ . . — ;.....: _:.. . - �... . . <br />�:;.r� . . . . . . . .. <br />. . - . . . .- - - - � . .. . . .. . . <br />� �LECTRICAL PERMIT APPLICATiON `: <br />CIIY OF'EVERETT' PERMtT'SERViCES Q�16-- fl(, <br />5200 CEDAR STREET, EVERETt', WA 98201 . � <br />425-257-8810 - FAX 425-257-885T - www.everettwa.orcJ �-� d/p ; j D5 <br />APi'LICATIONS I1RE ACCHPTED FR0�41 B AqI 70 4 pM - pEBR 8 CRFpIT Cp!tDS q{ZE NOT ACCEPIED <br />n: . . .. • .. . �. <br />� r � <br />� <br />� �.Gu J��v''zi�� l�;.r�� f�f =�_3 �✓��'�r%' t 8=�0 "� . - _ - <br />PROJECT Ap�RESS <br />r-t;�"1�-�t�� ���Un'��� IaIJi �uzi;;v_c:,Lt1>o, �=•)5`V��3 ��rrim <br />Ownur , .- . r.+nu n� e � �. � <br />Ten3n! .T M�il AtkJross . � <br />CiN <br />' ' . <br />'td���� ��r.�tiiC ��C �:��8-13nr+�. _r�r rJ�. l.t(`ic.�.:,v <br />Ebctri�alC.:nMaetur ' At�Altdtlraw <br />�-r �.a:� e x � �� ��: � <br />State License Numbcr - <br />��,`��c,l� !�a,�u� �w�r1lf;��;� <br />Prtiposnd Use af L�nldmg <br />c�y <br />DescripUonofWorklo�00Dwm: /��wV )t>i�t�i-�Gir <br />NOTE: WIRING IN NUN-OWEI.I,INGSlS REQUIREDTO <br />0[ IN RACENIAYS, tv1C OR AC CAB�E. <br />CI7Y OP EVEREfT LOCAI_ SA�ES TAX COpE IS 3105� <br />1 hore6Y �c��tify tluif I have rppd arW ox�iRtined fhis oppl(a� <br />conocl. AI! provisions ol iaws arxl oNmnxes,quveminp 1 <br />whothw s�x�dllpd hurWn or not 7he praM;ng p/ a pamut � <br />vxN�le or wncN G>ewuv isonsW nny othor slnte nr hx�.nl <br />prrlormoncy of consfrur.tlon: � Tlwf I am aufhorize0 by rho <br />work lor whxh n{�I;ctitwn IS muda nnd J ccvnply wiUt fhn ; <br />296.200 WAC. <br />�. �,��'-fJc G,�: <'t _ ,'�1 �1i✓.�.�v <br />n <br />nnU <br />(0/11.�G (�° <br />j�;�Fb��l n>CU. <br />SelofaP <br />S�tt�Llp <br />u-<� ���� <br />SC97t�lLp <br />c� � rf'-}F–(.��tl�_... !�. <br />Phan <br />Ptwt� <br />4��^.5 •��;7a _:C/0'(aC,. ., : <br />Ptrork. . <br />Conlru t PAw.of Work . . . . _. . <br />Conlact Percort �(Plun Roview) � . . <br />� ln be fnw and � <br />completod � <br />�e authaity fo <br />Gon ortAe <br />o pcAo�m fhu <br />0.27 RCW end <br />