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MAR-07-201a �RI 02;59 PM Prime Electric FAN ;d0, 4257475552 P, O1/01 <br /> �,; - - --- - - - � � <br /> � <br /> I, <br /> � ELECTRICAL PERMIT APPLICATION ` <br /> �� • CITY OF EVERETT PERMIT SERVIC�S <br /> !� 3200 CE�AR �TRCE7, EVERETI',W.�96201 <br /> ti25-257-8f310 - FNC425-257-8857—www.e��erettw�.arg <br /> � C� �3-�a� <br /> ;� 120� �1�f�;�l C�e�� �q�kw�__�— <br /> •�� PRDJECTAO�RBSS <br /> `��- ��� �A rnorm <br /> 1. Cw�ef A7althdEio.:S GIy S�o1J1�P <br /> i <br /> I� Tenant � NaJAnErese C2Y Sulo�T�p Pnen� <br /> ,1 ��rne. ElPck't .._. 133oI5E zG� ss 13ei�evoe. wfl y� �+x���?_�zoa <br /> � EleGricniConUador MadAtldrese Clry Samftip Phonu <br /> � p��MEE��3y �7-. � <br /> � State Liwnsu NumDcr - Contrad r'ncc ol WorK <br /> j' prvposod Usa of Buitdirg Centnc!Per�on (Plan Revl��v) <br /> 'i� <br /> ;, <br /> Square Footspo Qf reslEential new consWC,ion,temedel oradCibon) <br /> Number of deVioCG(It law voltago) <br /> Dcccnplion af Wotk ro Be Oone: T"W��^� I"`� COn���� � � Dh C���� <br /> �I, _— ' <br /> I <br /> ; FC'E <br /> CITY OF EVER[TT LOCAI SAL64 TA7(CO�E IS 9105 �I.� . �� <br /> � �� <br /> l heru6y tertl�Y Nnf I hevo read and examined fhk npplicutlon nnd know fne samo ta bu lroc an� <br /> cprtgcf. qll pmvislons of lows ond oNinuncos 9ovominp fhis rypo ol wnrk��9H Ar.complolotl <br /> whetherspec�(edheroinarnot Thvqrantinpv/apermitdoosnotpmaumufoglvoavNoiityto PERMIT# <br /> violdfo or cencaf Me provision9 0/any othCrstatc o�lo��l lmv rogWnfinr�COnsfi�r.ticn or the � I � �l`7 _ O�¢� <br /> pedoOnanrn o!connYruc00n. Tha�I�m aulhonzod by tho ownor o/tAls propmty ro perform fho �� J (� <br /> work Por whiCD Jpplicetlon IS m�tle and I compry wlfh flre Statu Contrattors 1.aw 1D.27 RCW and <br /> 296.200 W�1C. <br /> � ,, � 3 7 i� <br /> ' nalure atc <br /> I¢iViSfG�:D'�S ' <br />