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_ — - -- - _. .._ <br />_ _-- -- ___ _ -� <br />ELECTRiCAL PERMIT APPLI�ATION � <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT, WA 982(' 1 a S_�� <br />425-25?-8810 - FAX 425-257-885 i- wvnv.everetlwa.org � J � <br />11PPLICATIONS F1RE ACCEPTED FROM 8 Ahl TO 4 PM �/�/D _/ �� I <br />, �� <br />37 � I/ L�`�c� Krt��L.��fZ 1�Ut t�.�C�� `� `t�oiD I <br />PROJECTADDRFSS <br />, � : _ _ —�t�'✓�o1 _ <br />��N�Y �cr����J-- �_7� l (�`c�LFcw.�c� �,��,_���t�il — yZ.`�-7Sy_-93� <br />Gwner �da�l AEdra;; Qry Stalr'io �'��onr ! <br />i�nant <br />MaJ AEdres; <br />r RY <br />Stoto2ip Phone <br />�OSi�.]t'tl�1 ��CIi�C T���__��'0���� �� `�l�__ <br />Fledncal ConVactor Mail Aderess CiN Statci_'�p Phonc <br />cs�u.�,����a�— — <br />�Iate L�crnso Number <br />� Propose��lAin� <br />l�rscripUon of VJoik to de Unnc. <br />000- ���04--- <br />Con „ct Pnce of Nbrk <br />Contact Person IPlan Re�ew) <br />- ��l/�l�.i_ �VC�h.J—L�_V!\�—�-I�1��'—"�`,� C�L_��i.li.T". _ _ <br />— _ _ — � �. . _ _ _ ._rr-..� <br />NOTE WIRING IN IVON-DW[LLINGS IS RE�UIRED TO <br />BE IN RACEW�YS, MC OR AC CABLE <br />CITY OF EVERETT LOCAL SALES iAX CODE IS 1105 <br />'. ' c�eby certily fhut I hnve reuAund eaemined Nis appLcnAon nnd hnow Ine smne (o bc fine und <br />.�o�a•ct All p�nvisinrs o(fa�vs undorclinances govemmgtAis type ofwork will bn completed <br />! .vhefhers0e.cdied hvrem oi nol Tha grrmhng of u pemml cMes nol presume fo give uutho;i!y fo <br />vrolnte or conr,el fhe nrowsions ot any olhers�ute orlocal lasv mgulahn� conshuchon er Lhe <br />peiionnnnce oI co ru�. n Thut I ern nuthon2ed by fhe owner ol lhis pre, e; ty fv perfc��m !bn <br />�.+ork lor u�hich a�6cuhon - mude xnd I comply �vdh Ihr Slnle Conha:!rs Cr.v 1 H 27 R.'. �V errd <br />z96 zoo ivac <br />I _��t c�_� �� ' _a01 \ _ <br />Siqnai • — IDdic <br />{ <br />