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May O1 14 12:12p Ferrin Eledric Inc <br />' 1-425•337•7746 p.5 <br />• <br />ELECTRICAL PERMfT APpLtCAT{ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEpq}3 S��T ���, WA 98201 <br />425-257-88t0 - FN(425-257-8g57—yoyyyy.gyy�p��,� <br />_�I �.1`-i- ��' f�v� S � Lo� � <br />�aE���� <br />�, <br />�,� s., t•� �,'L�n i ��-, <br />��-� �2- ' S :: .1� !D "u <br />��ctCN'7t l.^t. <br />�Q.�� i �; ��39 /..JT <br />Staie License Numbpf <br />N-e.wJ '� <br />D��c.; ; ; -, �, <br />Propose0 Use of Bwmmq <br />Mai Addm_ev <br />Meil AOdtC55 <br />�;i nee� <br />�e Fo�age (ff re9tleneat �e�roor��, �nodd or adQ�o�) <br />Number oi tlevices (If Icw vollage) <br />n�«�on o, wax ro e� oo� T� w� P P v l <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />S�ui <br />Cily <br />�+N <br />r� gF'�t"( <br />S'�Zq <br />State/Lp <br />Sla(e2p <br />Contrad Pcioe af Work <br />u7�= 9� 3d-FW <br />�� <br />Pnone <br />-1 337S3b'� <br />Rrono <br />-f "u--� r � r,1 vy t�.�.% <br />ConlactPerson (PlanReview) <br />1 hembY ce�rY that! have mad and araminedl/us app(icaliOn and Mrow (ho sama ta 6e (rtre arM <br />ca/racL M pmvivons o(laws andd+Snat1oas 8o�r��n9/'�s type of work v�3 be cnmpleled <br />wAetl1erspedGed M�ein or �t 7ha grar�Ortg ofa permif a. not Prestm�e fo give aWwri(ydo <br />violaW pr cancel the proviyyons of erry c}Aer shafe orlocallaw regulating mnsbuction or fhe <br />perlormance olconstrucUon. Tha! l am aWhorized by the owner of1Ms propEyty to pe?onn fhe <br />work /or whrch applica6'on is made nnd ! comply wifh lhe Sfate CantraGors Law J8. Z7 RCW ann <br />296.2an wer_ ((('''��� <br />V ` <br />�� <br />5 <br />FEE <br />✓ V� <br />PERMIT� <br />E L�05-0�� <br />