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ELECTRICAL PER�NIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERGTT, LVA 98201 <br />425-25;-8610 - �AX 425-257-8857 - w,� ivii'.� ��i,� �=�r.•L, . o., � <br />✓Ii.I�, �' Gl�drLY'f���� �- c'_i/riil.i"� ltJJ-� ',Jt �'. <br />J <br />' ��Z <br />PROJECT ADDRESS <br />i � � FZ <br />r..rer <br />Ci�+ll��i �� �b V.: <br />'enan! <br />�IN�(")V <br />P`� 7`� I �?`I % <br />Mad?dccss <br />i <br />:�1 r 'i <br />�.ta�i Fcare>s <br />� 4L1;, � <br />Cily <br />r;iy <br />i <br />���U1,:1�'- �6L'LT'-IL I�C: i.'C,� i���� ���;'-tL�,� <br />Elec!nCalConlraCto' �„a��lAdtlress Cdy <br />�r'�:� �ou�� � 3��� ��� <br />Sta:� License Numter (required) <br />i'.1411 �✓� li.-r�Jz <br />Proposed Use et Bu�iding <br />SQuaie faotane Qf r�;ider��rev: cnstruclioi, remc:fel cr addr.!cn) <br />!Jumb�r of devices (I� low vottage) <br />L P: i�7_�-1 <br />Slaf��7�p ' <br />Slate�Zip <br />4..in, `� v�'l'� <br />Slalc2�p <br />// -� ��'S <br />C—i�/� �-od � <br />-n_rc <br />:'hor? <br />Y,'2Z'2c <br />P�on� <br />t�'u � � y <br />Cdy of Fve:ett �usiness Licensc Number (requi�eCl <br />�' G�(',� , �� _ <br />Con(rart Price cf VJork, <br />TSC'WC�:.nnl � S'c -M.uO.;�,.�:t�cz ,v....��.,�v-„�,�• <br />CoNac! Perscn�Contact Numbc:lEma��t <br />Descriptlon o11�Jork to Pe ODre� �GS�h�Y1L� h�i}�(,y SAV �r- � d_rl �"���Clti�rn+- ;:.�= �.�G� � i 4 � � <br />_ �r�"li 1����> � 141tii1- ric��>5 f Z-- L�2.C,�.i�iZ � <br />FEf= -- I <br />CITI' OF �`?ERE77 LOCAL SALES 7AX CODE IS 7105 � ,� <br />I, <br />1 henty ce�tily th�f f h�ve rpad �nd Cra;mned this appCc;�tion ano knoiv Ltie same to Ge Vue and �� � / I, <br />cerrect. �iN provi:iun; o7/aivs and ordinances governrny this fype o/ worN �vill be comple(ed ---. �� <br />:�hefherspccilied herein or not. Ihe giantinq of a perrnd Coc; nof presume to give autherdy (o ptR��[T;; � I <br />violal. cr cancel (he provisicn; of any uthei;ta(e orlocal la�v re,ulating �onstr�ction or lhe � <br />E 15��'fl�a� I <br />pe�/ormarce olconstr✓ctron. Thaf I am aufhorized by the oivner o( fh7s propertylo pedorm (he <br />�vork Icr:th�ch applicetion is made und I cvmply �vrth tne Sfate Conhac!ors La,v Id.27 RCbV end <br />296 200 VJAC. ---- . <br />1 <br />,:c�_�r.--"� -- - --- �r �.L ?O � (�Pi <br />