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z � � <br /> ELEC1'RICAL PERMIT APP'LICATION <br /> CITY OF EVERETT PERMIT SER\IICES <br /> 3200 CEUAR STREET, [VERETT, WA 982�)1 �� � a��p� <br /> 425-257-i3810 - FAX 425-2�i7-8857 – www evere ttwa.org �����`�Q� <br /> APPUCATIONS AR[ IICCEPTED FROM 9 AM TO 4 PM <br /> 3 �0 3 w cqs, ,,o v�'� �� � y5� ?� L <br /> PROJ[CT ADDRESS <br /> (a��� � <br /> Z�oe ' C4 o.r '��a � w cUs ,�,� 6�� F��.e-I� (.�,� qr,Zl3 `�rU6-3Y� <br /> Owner � A�a�l Add,e.s Ciry Stato2lP Pnone <br /> � <br /> ave �.�g -�S�F' , ��Q-�• 3Do� 1.� CGSino �2c� '21yS-2oLF��er�`'�' lJA ��a �3 ��� <br /> TenaN (de�l Atldress GP; Slale2lc Phorp <br /> Cd o.�) <br /> N1c.c.�_�.-����.1�.- �'IilLl� —1711 iJ<+.q,h �u.�. SL, S�c�.�' wl� � �IOb �bb'-Ydl� <br /> [Iedrical CoNraclu� �a,�i ndamss aty State2�p Pnone <br /> w�r��c�arn�� ��-� �_ c ;= i/c���9 � � `� ( >�f =�= <br /> Stale License Number � Cotdracl Pdce o1 Work �ydS> <br /> Co''1�✓��a�Y'� Co..� �L�Ark Kl� 'l�ab-5701 <br /> ProposeA Use ot�uilding Conlact Peryun (Plan Rev` ) <br /> Dr.scription ui Work lo Be Dnno: � �%1 P. v O ����Q Q — I r l i}fa� � 11�C_G.'�' }-VG�Ck �o� D 1/ O 17 <br /> 7 c,i �- u �t <br /> — S._— <br /> NOTE WIRING IN NON-DWELLINGS IS RCQUIRGD TO Pt[ <br /> RE IN R/�CFWAVS. MC OFl AC CABL C. <br /> � � •� <br /> CITY OP [V�RFiT LOCAL SALCS TN(CUUt IS 3105 . , , <br /> i . ; . ..;� � �'� <br /> I he�eby ce.ti!!v Ihef I heve �ead and eraminetl fhls apphcehen snd kno�•�the samrt fo hc+hue and ` <br /> cnrrtr.t. A�I piv,wsions o!lows and ordinanCe9 gnv�mrn�fh�s fype ol wnrP win Ue completed - ' '"�� <br /> n�hethr.r spenb�+d Irdrvrn o�noL The grnnfinp ol a pe�md do��s nuf rnsume tu give authority tA . � , \ <br /> vr:�rafe or canr,e�the pmvisions o/any o;ner'stete ur�ucai la�v mguPatin,y cunslnir,hon a fhe � � ��� • <br /> pe�lonnance vf cunsCw:tinn Thaf 1 am au�hoiized by the oH�ner ol�hrs pruFaRY to perform fhe � ��;\ <br /> u�nrk 6�r whlch npp6cafion is mede and 1 comply wlfh fhe S(sle Contrncfors Law 7g,"17 IdCW and , �\ �� . �+ ` <br /> 74f 7U0 W�G .�``'. <br /> � �� <br /> �_�'• _�.`z-�__--=��t��� Il I 5 � 0`Z �/ <br /> -="�,n:aure n�tx I — L C���I -� �) (� <br />