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O1� OJ-0i THL' Oi:JB FAS J25 J55 1810 DL"ITOY ELECTRIC �001 I <br /> ELECTRICAL PERIVIIT �►PPLICATION <br /> CITY OF EVERETT PERMIT :iERVICES <br /> 3200 CEDAR STREET, EVf_RETT, V�'A 9B201 <br /> � 425-257-8810 - FIUC 425-257-8857—wwt�.everettwa.org <br /> I <br /> APPLICATIONS l.RE ACGEPTED FROM 8 AM TO 4 PM <br /> �(OV !�" y_�Q.�"D <br /> PROeEGT ADDRE55 <br /> �F�l/1I�.�19��/�I�ZO__��.LKIJlZ_rc° Ev��QFI��wA9R�y.�' 3S •(d� <br /> OWnOf M1tail AOdress �;ity StatdZip Phone <br /> ��Ol c�rp y�� �vE���%9 48 2 0 3 _ <br /> Tenonl �dau Atltl�esc �:i�y Slale/Lip PhunB <br /> �u7Ta�R�G Go l2y�u�f1LTE�.��1�d l-YN�rtrb L�ff� 8a8� <br /> Eiedriral Coniraclor Mall Atltlress ;iry stnten.��v �./Z S•�I�•7hPd�' � <br /> �urrr��cl3�3 _ `� � � <br /> $late Licr:nse Number Contraq P�ce 01 Work ' <br /> T�N� I�RUfF %�FA�t/E.� � <br /> Proposeil Use u(13udtling Contecl Person (Plan Review) <br /> � P 11�F�.��'Y-!-C��b'�l�'127t�.-,P �C`t�CAG�/7� <br /> IDesvi tion of Worh tu Bp Uone: il <br /> NOiE' WIRING IN NON-DWEII.INGS IS f2EQUIRED TO FEE <br /> �E IN f2ACEWAYS, MC OR AC CADLF <br /> ICIiY Of CVERETT LOCl1L SALEF TAX COD[IS J105 <br /> I hoicAy cert�ly Inat I ha�e fUaU end axnmined fbis eFP��C1GOr1 A/ld knpw the Snme fr,bB ffue a��d <br /> �anect. AU piuv�sions o'lmts o��d ordinances govemmg fh�s type ol woik will be conpleted <br /> whelher speafir.d ne.�ein or noC Lha g�nGng a/a permrt Coes n0(prBSrme fo give nufhonty fo <br /> viola(e or r.ancei the provis�nns o(any ofhei sfafe or l�cal law ragu/etinp consfnic!io�or the <br /> perfi�mrance o!�onatnmtion. Tlmt/am nclhonzed by fne owncr of f'iia proDedy fo FpNom�tnc <br /> µvrk � C4 af7phCaGu���s made and I cemply v:,01 the SfOfB Contradnrs LaK�18�7 RCW and <br /> OOW� „ � <br /> / L./ /j� �` . <br /> P� <br /> — —;,i--� - — e ' I <br /> " . • <br />� <br />