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FROl1 :PO WTER-ELECT��= � FRY, N0. :360 757 2681 . '3n. 28 2029 S1:S1flM ?1 <br /> �`I E•1 C' --- <br /> E�ECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 68201 <br /> 420-257-881G - FAX 425-257-8857-�aww•everetlwa.org <br /> IAPPLICATIONS ARE ACCEPTEU FROM 8 AM 70 4 PM <br /> �_,......-�-- <br /> �7L� ,� �,l,r, S� _ <br /> pROJECTADDRESS <br /> �✓fle.� �eG�.�a� G� 7lJ ] L-�rvl J� �v�re,� �.1R ���0� <br /> OWnBt � MniiAd:Ycss Ctty 8telerOp Phone <br /> Ternr,t M���Anewss CCp s��«7+P Pha�e <br /> 36 ci <br /> �^;n Ier e�-��ec�+'ic S»G 13aY.5 n�ct.lvr l•_�.�I [1, C��.J UJ1'� �&a 3 a '��-13C�C. <br /> ElgpiriCBlContradcr IAalAtlr,rnu Clly SI�to21p '�one <br /> ��+7.v'rc 7 1 YX'.�G <br /> Sia�a Lice�ae Numbar Canlract Pnce=f Wak <br /> Iprop�xo0 Use tt Bul ding Contecl Pcrsor (Pten Rsefew) <br /> pe�cripnnn o�Work to Bc Dor�: '�,�7'Inl:a. ��n c c:i'cv:�'���' / 2 �/5'� Y�l 5 a r� <br /> �C'.��' r�+Z �^CG f� <br /> i <br /> � __ "'._ <br /> i <br /> I � <br /> NOTE WIRING IN NCN-01h'ELLINGS :S REWUIct� 7p FEE � <br /> oc i�?4CE�.NP.Yg, nnr na pr CABLF.. � <br /> I I---- � <br /> I CITY OF EVERET7 LOCAL IIA'-cS TAx cODE IS 3105 <br /> jr hereby rnr.Nv fhxt I heve;eed a�d�xam;ned Mia e;,plmehion end��ow G5e soh o f�i�and <br /> IcUi�eci. nuYWri+iu15J1k:V,'S:,-�.........�.�..-a-.0...f^^: !)'9, e_ vro <br /> wM+NO�speciftOd Aoro�n or not T�e gr+ntfnp af e pt+maf does nofp roewne ro o'�e aiAh,iity ro <br /> �'Ns��r ct+ncei�ne pmvlsbns of eny c!her sfate or Iowl leN rogu7eUrp mr•c�v ri!:+ r.��a <br /> re b r.ena.cArc�:atn:ction. That I am avthcrfzetl Uy 7ha owner o/Nla proparN ta,�r�o^n'he <br /> wd0 Porµ�nr.ryeppfC nw`i�n:r.ce nrS�ci.��;pJy M��h tha Sfats CN,�radrva Lew 1b.17 F7CV!drrd <br /> I29621T9 W C. ' <br /> `�� / d U 1 � I <br /> � � ��bi-1 � <br /> '�" pnawro en <br /> I �_�.—�•-----._..v <br />