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11i08iUU 'I'HU 14: 97 F'AS 426 J55 1010 DL�TfON ELECTRIC !0001 . <br /> 1 <br /> � <br /> � <br /> ELECTRICAL PEI�MIT PPLICATION <br /> CITY OF EVERETT PERMI SERVICES <br /> 3200 CEDAR STREET, Ey[RETT WA 98201 j/� cf-O� <br /> 41Fi-257-eA10 - Pl�X 425-257�8857- .everetiwa org 6 ��-�SO <br /> �Y�Q <br /> APPLICATIONS ARE ACC[PTED FROM 8 AM TO 4 PM <br /> — ----- _ __- - � � — <br /> $o�. tiy Fv> �-r. r5<srcr,.�� � � <br /> 300� w c��,No 2oA� y's� �--p 3 y <br /> PROJECTADDRESS � � <br /> �jp�r•��j � ! <br /> Owne�� —T Mail�cltlress Ciry �— Stale2ip Pbone <br /> � <br /> ��."`c --- --- � �----- <br /> Tenant �dallnddroc5 —���Cily [ Stale/Zip Phone <br /> 7 <br /> ' r 'I�- <br /> �vT.jsnl �CCrnt/e �6, IzY� '1 R�o��ic '%ew LINaw�o� G�A ' �f���7 3Y�-76o0 <br /> � ElectriC0lCo�lnctuf 61allAdtlre;s 5�[.t-p (✓/ly �Clly � StatefZip Phone <br /> f <br /> 7JUIibEc /3�7�� � ; S Zo,oOa• � <br /> Slate Llcense Number � � i Conlrad Pr�ice a(1YorA <br /> i � '�j� <br /> /Yl/f.v ci /'NClt//2Ii�� -- - _--�.1"UCC- � Cz- <br /> Proposed Uce ot Guilding + � Conlad Person, (Flan Revlew) <br /> I <br /> Oesciiplion uf Wo�k In Clr. Dnne: /ZC--r'N-�Q C-C, � l �'P[-+✓ Ci��E�2��s �3 N � <br /> y <br /> <<��,r_c_„�.F _ -�ys_ zor zo3 z�l �s- za9 z�� e zi � � <br /> ✓ �✓ ✓� � �� ./ ✓ '-- <br /> ___ _. _ -- —_ --- __ __ =�---'— <br /> ; <br /> NOTF 1NIRING IN NON-UVJCI.LINGS IS RFQUIf1LIJ "1 O I � FEE <br /> f�F IIJ RACLWAYS, b1�; OR�C CAI3LG. � <br /> ; �CIIY UP EVERETT LOCAI_ SAL[S 7AX COUE IS 9105 � � � <br /> 1 he�oby certify fhaf I have mod nnd exanrined(his applir,�tlrni and kno�•fhe samo o Golrue antl <br /> m�ecf AO provisions o/laws end nrdtnnnces ooveminc�this f}pe oI�rArk will be c mpletotl � <br /> � �tihe(her spec�hed hurcln ornut. 1 hrt grnnfiny u1 o purrrnt daes not pres�mr. fo piv aufho�ity fo � <br /> vrolate or canr,r,l the xoviswns v1 any�olhr,r slatr. ur locnl law iegu/afin�construcfl n or fhe � <br /> perl��nnance3 0l r.ans�rur.�inn. Thnr I e�m aufhonzed 6y the owner o/ihisp roperty tu erform fhe �, <br /> wnrk!ur which appllcatlon Is matle end I comply K�i(h fhe SYafe Contrgclt�rs Lew•Y 17 RCW and yf��/, �7 <br /> 796 270 WAC. � / L/ �/ <br /> ' (� <br /> � �i-..�- � / - -�j �d .� ! <br /> � I <br /> '`-t. — - �F�n�i�v�� ----�--"------ - Dale � - . . . <br /> � <br /> 1 <br /> � � <br /> - 1 <br />