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11iU8%UU 7'l1U 14:J7 FA.I' J25 955 1010 �l"1'fOS�ELECTRI� Im001 I <br /> I <br /> �_. ._ _________ ___—_�� � <br /> ' <br /> . � <br /> � <br /> ELECTRICAL PEF�MIT �APPLICATION <br /> CITY OF EVERETT PCRMIl� SERVICES �� `o� �� <br /> 3200 CEUAI� STREGT, EU[RETT WA 98201 <br /> 42G-?.;7-HB10 - fAX 425-257;8�57 - c.verettwa org �_.{)(j 1/ �4v`�' �, <br /> APPLICATIONS 11Rll1CCLPTED FROM,B AM TO 4 PM <br /> - __ __ - ------= � -- <br /> �O�• �y � �vr �-c �5r�rc�,•.�c� � <br /> 3003 w cn�',,�o_ �oAD ; <br /> PROJECT ADDRESS ; E <br /> . <br /> �D��.vC ! i <br /> Owner —� hlall Adtlres� �-������- �—' 1(;,ty � Stale2ip Phone <br /> J ' <br /> -��"�- ! --- _.� <br /> Te��arlt �"�—� IdallAddro,s -- — �Cily i Staie/T.Ip PhonB <br /> � y LS- <br /> ��7�Qnl �'Ccc�tK�c. �o. __/2Y� � R+�i«<Tc�o ��NNw�oo (s�A �'rfa67 3Y�-���� <br /> EIpCt ICt31 ConlRlclOr A1a11 l.CdrCSS �j�(�j (✓/Y� � 'CI� ' �Slate2ip P��one <br /> i <br /> � ; � <br /> "J�v7iaEc r3 �-r'.� ----- S Zo ooa. <br /> , �—. <br /> 54�te licr.nse Numbei � Contracl Price o(�Yurk <br /> i � <br /> n-m��, rncr�.zi.,-j � .V <br /> UC���•y��.0 C� <br /> Proposed Usc of GuilJiny � Conlaci Person,(Flan Review) <br /> i � <br /> Dvsc�ipliun ul LYurk lo llr, Dnne ..f�C>�� es �C-_C.-'-r� }'Q f-'✓ Ci/�6��YZ+ZS C'3 /�/ ` <br /> �—�-- — <br /> �r (ir_ cr.�F- ___.�yS`_ 2of Z� � Z ��1" • S�S- Za9 _?_/f � Zi � � <br /> � � �� -i-�- r-�� � � � � �--�-- <br /> __ __ _..— —'----�- - --- ---- <br /> � ------ <br /> NOTE INIRING IN NON-UYJLLLINGS IS RFOII(RLU 1 O I / �'�� <br /> !�F IN RACEWAYS, MC OR A(. (:ABI C � <br /> CI IY OP EVEI3ETT I.00AL SALCS 7A%COUE IS ;1105 t � <br /> 1 her,rby certily fhaf I Dnve rr�nd nnd ea�umrneJ fhis appl�catlon anN kne�r Ihe san�o o bu Lue and <br /> corre�;f. N�p�o��isruns o!laws and oMlnnnces n�verrnne�fhis t}�PQ���t'drk�vill be� mpleti?d � <br /> nhrsfhrtr spec�hed hmem or not 1 he�rnnfing ul u po�md does no(rres�imn to yh auR�errt}�fo <br /> vmlate or eanr.el U�e �rovisruns W anp uthe� sIa(e ��r luesl lnw re�ulafiny consfruc(i ��n rn the <br /> per/,�miance ol eons�ruc�inn. T7int I am nufhonre�i by fhe o�iner o�fh�s property to ierfonn t!ra <br /> �eork lur which appllcaUon Is mede nnd f comply K7(h the b'tnte �:nntr,scrt�rs l.erw 7L 27 RCW and � <br /> ,��c aoo wnc � G C���/ "� � <br /> ��a-�-�� 1 / _ r' � d ,� a <br /> -- r ------•----- --- — <br /> ...ql'iJItIrC`� � _� U31R : ' <br /> � 1 <br /> � <br /> t � <br /> . . ._.. —�-- ' <br /> . ..—._. ._��... . _ __ ____—___ <br /> � <br />