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, L. ._ n,� „ C <br /> ELECTRICAL PEF2MIT Q►PPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8£i10 - FAX425-257-8857—ti+nvw.everettwa,org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ;� I 1 K �N�:s t�LhCF_-.Ev��E-rr�,�a�3 <br /> PROJECT ADDRESS <br /> R�g�.�H ���c� [411 K��c:s nuK�. Eu�¢�.� �t10 9gao3 �ras-�-aa-ssss <br /> Ownrr ldail Addwss City SlatelLip phenc <br /> N�� <br /> Tenant Mail nddross City SlafelZip Phono <br /> (, f5 �}�n-�tiC-, cavt�,�C— <br /> ". CLEGTL�L �Nc . 5oD r .M�+�,J �s,- . l�'lan��coF 1h.11� 9Sa��-��,a�-asa-N�oa <br /> [leCirical ConUaC�o� M17aii WidrgSL City Slale/Zip Phone <br /> CSffTc—S�{9?,ORK � �� <br /> State Licensa Number Cantra t Prica of Work <br /> ('X'G�Pi�.� RF s����� C ru��s Z��nn�o �as-sog-3aga <br /> Proposod Uce ot Bullding Conlac�Person (Plan Rovlew) <br /> DescripllonofWorkto6oDone: �,��G�ZH� �a�f1 Q/�{ ��«��'t S��v�C� �j'b aDD/� � <br /> � (' �Rcu�'c5 Fo2 ���LTz�� �,�a��cE , N�nr,'�,.,v,� � s�� ��� <br /> KE�Ee�at.�F - <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> � <br /> [3G IN RACEWAYS, �dC OR AC CADLE. <br /> � i:ITY OF EVERETT LOCAL SAL�S 7AX CODE IS 3105 <br /> I I1 heroby cenlfy thp!!hava road and exemined OUs applicotion and kno�v Ihe same to be inie and <br /> �_orracL A/l provlsiuns of laws and orrJfnnnCeS doVeming Gris typo o/wark wlll be compfeted <br /> I �•.licther speclfied heroin ornoL The pmnflnp of a permd does nof resume to gjve authontyto <br /> r•�3�e orepnce/Iho provisions o�ony other sfate orlocallawro�u�Ung consWcG'on orths <br /> I r::�'ormonco ol construcllnn. That!am aufhon2ed by fha o�sner oI thls properfy to pai(omi!ho <br /> ,�.:,r;cforwhichappiica0onlsm da-evrr+pl� 'hfhaSlatoConPacforsLow1827RCV✓anA <br /> � 29�.200WAC. <br /> I / <br /> ,i � �� � �y - �l ���,; - ��� <br /> ''ii I � — - <br /> Slgnahlro �• -__ .. Date <br /> I ;�`e'�— ��S <br />