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� <br />� <br />s <br />ELECTRIGAL PERMIT APPLICA�'ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR SlR[ET. EVER�TT,'NA 9�201 <br />42b-25i-SP,1l� - FA'1.425-257-of35%-vnvv+.evetettv�a.org <br />A�PLICATIONS ARE ACCEPTED fRO�d 8 AM TO 4 PM <br />� r;(JZ . - _.�z9P. - - <br />PROJEGTADDR[SS <br />I--� ��1��� ^/:� <br />1--� �� � � ` : ��{-{ � ( u�i'i� Gt�r_ ?�G'U 1� �:Xq�!"�� �-C�-���, �'1 _� �1 � %/ <br />, �- <br />Owner �.:auFa�rr.; �l..iry �;atc2p <br />�}_ <br />Tenan; <br />r.�,�i �.r.emc : <br />C1ry <br />�C ��'/ ��ec��G �r'�J�� (,1�� � ��.f.�, rJ�= /�, `� <br />flectneel ContraCtor f.1al �d'oss Gty <br />�.n D�� ��`�' � f F�— <br />`tute LCGnso Numhcr <br />PrU{JOSi��l�n O� BU i..in<�—_'_ _ .. <br />Sta!eZp <br />1��� ��,- �'r�h� <br />Slatc/Zlp -�� - <br />_---_LSL-' <br />contrar., ��rico or w;,�k <br />GCntact PC^.0^, (?�0n ftCvu�w) <br />Description of Wark to Re Done. l L�/V D��� �� cti��l��� `fi>� ��;w�� •_�-CL�1.i�ti.��G%_r ___ <br />�� � <br />NO7F. WIRING iN NON-DWCLLMGS IS R[QUIRC[] 70 <br />[3L IN R�CFWl1Y5. MC OR AC CABL[. <br />qTY Of EVFFETT LOCAL SA1 FS TAX CODE IS 3705 <br />� ho�ob}� r-�n!dy fhOf I h, vr roaJ and Cronv�i[tl fhis appiiCOhOn �fltl kno��' fhc 5[ImC fo A�3 frUu �nd <br />corcect All provisnns nllnws and ordrmntes govom.inq fh�s type of worN �a�ill be rnmpl±fo� <br />wheL�er spnc�fiwd hcrem nr naf The pmnf�n� of � parrri,t dxs r,of rosu�ne fo 9ivc auti�onty ta <br />v:ol�ifr orcancel tho p�uv�s�ons o! any other stefe or focal la�v n±g���hng cons;�vchon or �hn <br />perlom�anco of cnnstrur.Len That I am nuthonzod by !he avner of thrs pioperty 10 po�form the <br />work for whir.h apPlicaition �s mado and I comply wRh the Stafe Gontrncfois La�S� tp P HCW and <br />796 ?CO WAC. <br />�� �.%' � —I� <br />� � .�C�r� � 4� -��� "�-- <br />� Lum �intc - <br />,i i,�n ���..� <br />::...1�.�3�= .y-::'.t11 <br />�f6L <br />(� S D� <br />� ��������� <br />��,1�'.: jc5�� ��:'1 , . ; �"i"-f. <br />