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�:�� �. 20ii 4 :09i'1', "r'o. 022S f. i <br /> ELECTRICAL PERMIT APPLICATI4N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S��REET, EV[RETT, WA 9820 i \ 5 <br /> 425-257-pU10 - rAX a25•257-8857–�v�vw.evereltwa.gov C� ` g— <br /> � ►s�'-�62 <br /> �Z� � V►�w �7..�OL—� �Za� ��2���' w� �l g'l�3 <br /> PfiOJECT ADDRESS <br /> ��-�-'1 �+N l�°L S4�'l2 /k 5 ,�{-�v�/� <br /> Ovmcr Mwlnddrosr. Cily SI�Irl7.m Fhono <br /> Tcnant M1�o�l ndtlror,r. Cily StaldlJp Phone <br /> ��S tK%�n��,C��-tN �� G.�_f�i+�tcC - �S`lU �F1�.G.f{--�e: �Jf,�L�fT W�l �T� ° I <br /> Elec f�eol ConlGldof tdau Mdrocs Ciy SIa1c/Lp Pnann <br /> l-S��"�S��i3b(Lk � q 68S <br /> Sw1e Llcense tr'umbar(raquirod) � Ciry of Evered(3usiness Liconse Number(required) <br /> �,� �3�t Y� <br /> ProposeA Uco ol dwlding CnMrnd Pnr,�oi Work <br /> �I DAvv.,� tjrta�•� 1 <br /> �,1�3� _ �17�i''Zf2�'�L—�lc��l�_��'�A l i u , (�c,� <br /> Square Fuolagc pf msidenliol new conalnici�on,�r.model or •tlAilion) ContaU PorsoN on1aG NumberlEmni <br /> Nombcr of devlcos(If low wilayu) <br /> (j/�-C� T �1�+� c//U�/�C�Q- G'CM/G� G� W�"f� S�4'�I <br /> Descdplloit of Work lo de Ponu�. __ <br /> - —�-- <br /> _�n.e� ,_, �WN��o _�.� Pz�4�-��►�P���2_. <br /> fEE _ — <br /> CIN OF EVERETT IUCAL SALGS TAA CODC IS 3105 � �Do D j <br /> ���� <br /> I hem6y cr.rt�ry Ihat f havo�oaJ and ar:unmcd fhis oppllcnlion and{.now G�u snmr lo bc Inie xntl _ _ <br /> COl1oCt. Al!prov�sinns nf Inws ond orUlnunrns yowrning Ibis rype uf wnrk wdl bo contp;nfud --� <br /> whr.theraper.lfied horein ornaf. iho gr»nfing ol a�mm�if dons nol pmsumo to give aufhonty fo PFRMITN <br /> hnlafo or cancol Ihn pruvisions o!nny ofhor::lalo oilocal r,nv mpuL�linp oonstrur,6nn or fho r �` � D�^ � <br /> poAnrmarrr.r!OI�roOSVUC(i0n. 1 haf 10rn pufhnrircd h y fPe ownOrof lhi5 prupady to perfumt lhn C J � (/ <br /> work lo�which app��catiarr is madc nnd i compl y�vi(6 Ihu Sfulc Gmlmctora Luw 7A 27 17CW and __._ <br /> 2Y67 0 A . <br /> -� —__ �� I �/ ._ __ <br /> � a un: ._-�U In ._�'__ <br /> �i�•�.rn n.ton�ni� <br />