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n8Jft5/2f.111 12:21� �53475F9H6 IDEAL SERVICES IIJC FAGE F�7/07 <br /> � �b� 3i2Sy3 <br /> ELECTRICAL PERMIT APPLICATION <br /> i CITY OF EVERETT PERMIT SCRVICES <br /> 3200 CFDAR SIREET EV[RETT, WA yg201 <br /> 425-257-SR10 - FAX 425-25�-8857 -�tiv,rw.everettwa.urg f <br /> I <br /> APPI_ICATIONS ARE ACCEPTED FROM R AM TO 4 PM <br /> 3 i s�i ��'Sl �� �Y�U,,'�1P✓'e�{ <br /> PROJLCT ADpftC•SS <br /> "�l -L i�w e� �-����e. _. <br /> Owner Mau AtlOress :��y Staie2�p Phone <br /> �- C1L��er1 ��� 4ZS- 3U?-�'?�7 <br /> tenanl Mmt afaress G�y S�aie2iv vhone <br /> :L(Je�� Sc��'vic.e� l n� °. S�r3 Pr�c; (�'c 1�4«-����+asi ��3 : r=� F�.,cl_:;r� �8�t7�4 <br /> [Iectncai CoNractor Mall�ddress CnV �Iate/Lp Phone <br /> ��� '"t{7a"fS��S� <br /> .S��L.�j�( � .)oZ ���U <br /> Stale licence Number Cont�act Pncv u�Wo.k <br /> �t�� 1 ` ` �-,�'-z�--� <br /> Propo.ed Use oi Bu�ltling Contact Pflrson (Piun Re ew) <br /> Descriptlon ul Wor1t lo Be Done. Ll—� CC l 1 l (�L� (.I Cl"l. Y�� ( � �-L��L��� <br /> T� <br /> _ l�i l�ltt 1�I k��xLc� <br /> NOTE. WIRING IN NON-DWEi_LWGS IS RFQUIRED TO FEE <br /> HF IN RhC[WAY:i. MC ORAC CABLE, <br /> CIl V OI°FVERFTT LOCAL SALES TAX CODH IS J105 ' <br /> II hereAy ierL/y tiral�hava road anU e�amma9 ta�s apf•��ca!�on ond kno�.�R�e samc to De f�ue enrl <br /> conecf AI!proviso�ts o!laKs and ord�nanCes goveimng Fhis tppe o!�vork kil.�b6 compl+fad ����� / � L I <br /> Whefher sperrlicd h[+ram o�nof �he CrTnLnp o�a/�ennd dnas n�r p�e;ume fo grva aufhr�ty tn ll v� 1 <br /> ❑olele or canco�fha pro��is�ons o nny ufher;I3fe o��oc;a��ait �equ�3(�^g Cansh�CLon o�f�e <br /> yaAnnn.�nce n�cunsNucLon. Tlret I am oulnC��LNd by f7�R nHr�ei Of t���s f-ropeRy to pe�femr fhe <br /> �rorti�n'��:nrrn a/uii\��;s msdo and I cornp�y �a�tn ihe .Sta!e Co��f�actc�s�a�• !C 2'RCVL'and <br /> �ve zda n-E� <br /> r� _ SI � � <br /> 5i na�re ate <br /> �� �«' ���.� 1/�U«-'1� <br />