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FRUI9 : Pn W TE�-ELECT� 1 C <br />FP:: NC. :3�J 757 2b31 Drc. 22 -G�=6 69:2'Firl °2 <br />LECTRICAL PERMIT APPLICA,`iION <br />CITY O� EVERETT P�RMIT SERVICES <br />3200 CEDAR STREET, EVER�, WA 982D1 <br />� 425-25i-881C - FAX425-257-E857-wvr,�.everet`.va.org <br />APS'LICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE k0T ACCEPTE�J <br />� --- ----- ----- <br />! /� C � f � <br />� _'�)�� li ,�)i" �;Vvfi'.'..� ��CUI ���y <br />� PRCiJECT ADDRESS <br />/ <br />�j I C_. �G���) �� � j �i�� �� <br />ra� M211 MdfE99 <br />����� <br />Tenant <br />1"Cii�1�.�.f L���'C � : <br />Elocuircl Con;raator <br />7l�. �'h � <br />MGII AtlC;set <br />l. �'` •'� <br />Mali Atldreae <br />%�, r N7•6= /4� D( <br />State Liconse Numbu <br />%�e f�� / 5��` <br />Propasad Jse af Buildiiiy � <br />) r (-Z•i';l� i�-� <br />Clty <br />Clty <br />l' i �^�� l� � �� (�'1'U ;�� <br />:blc/Lp Pho�e <br />Slek/'Jp <br />o.o,,, 3 <br />Clty Sta�21p <br />s`_-` <br />`s c <br />Cont�ecl Fdce of \tibrk i <br />/J� / S�, .-�s <br />' Contact Parcon (�n R�� <br />,.360 77D �' <br />Dosaiption cf Wark to 6o Done: �� ��< <<' T� J /� V� C /o u y- <br />/� -- <br />�li�S <br />�Ol E: VVIRING IN NON-DWELLINGS IS REQUIREC TQ <br />EE IN RACEWAYS, MC OR AC CABL�. <br />;;iTY dF EVERE7T L'JCAL BALES TAk GO�E 13 ]105 <br />' I hereby ceiVfy thet l heva reeC and 6x8.mineC!tns yppl'=aGa^ and inc.v rhe same!c bE lr�e and <br />rorre:i, Al; prcvlslons ollaws erd o�dmences Sovem'ns chis ry,�a nf werk v.�i!' h= �omplatad <br />n'.iethcr spaG.�eJ hercln ornot, Tne pren6bg o/a parmd tloes notp rescme m 9'+a eulhcdty (_ <br />:ia�e:s or cancel fho p�oNsions of ery ofHe•slafo „r ioccf!m•� n:gulating canst��vc;ron o� the <br />iperivmer.r9�fcwrshurt'on. i'hgtiam.-u�a�:�dtytheovmer�Ithi�rocortytope?ornLhe <br />v,crrr `or �vnrcf. Lcatier! is made end ! mmpi� wdh fhe S!ntr. ConVa,.,�r:. :.a��: 782' RCiL' end <br />29B.ZC0 WA�'./� <br />� �(� ��- �fz �� <br />i �onature � DaM ° <br />FEE <br />� � <br />���/ -�:, <br />, ,_� <br />