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Ilec 17 07 02: 45p Keller Electric, Inc. 360-66�-7431 p. l <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> , 3200 CEDAR STREET. EVERET'T,www everettwa.org <br /> 425-257-6810 - FAX 425-257-8857- <br /> APPL.ICATIONS ARE ACCEPTED FROM e AM TO 4 PM <br /> ,���.,,/ �� � k_1 < <br /> � �,Li <br /> PROJECT ADORESSI <br /> � <br /> � � � /� <br /> C� !- ,f! !' ,,!� : �t� G ,' �T.G ��.% j `,�1 t' ' <br /> �L[c�3 �� ��'c�% l.9 - , i�i/��. � � �ry sie�r�+ rno�w <br /> ��a MnOAddmss <br /> SiatdDP Phon� <br /> �Y � �` - i <br /> Tenant ' Ma�lAdd�ess Z.�.. /� (�� n�LF-/L- LC�Lt� /����J/'��G;II��� <br /> Il��,i r 1��•.�,.n �/nt,c. C�/�j �-Pl9 � s�et�v Piwnc <br /> EI ^ 'ca�Contrador �/ <br /> MaY fuldass � f� <br /> ) /DQ / � �, �,;t' L�4 <br /> ,��/ �s�.��" ���Cr��L` ^ / Conlrad Price of Woric <br /> gha�� license Number <br /> � ' <br /> ��(� � �/ �i� L� Conlact Porson (Plan Raview) <br /> '�ppp5¢d•USG'ot Bulldm�J � <br /> , OeqnxiPtionafWorkfi6en0one: �r - Z!�!/ Al7�7 p .Cl.r' � �-c< ..r� -- <br /> // �,{ �Cc:�c ci'/ �L Gt cs�. �I 2Ct% 5•i S 1 J <br /> ��l '( 'L.`t���- i.1G�[(� ?-----7 <br /> �ii;: �.',nl.. �;'C; <br /> NOTE: BERN RACEWAYS MC OR AC CABL�E.'RED TO <br /> FEE � <br /> CfTY OF EVERE7T LO�AL��S TAX CODE IS 3105 r L-��_�_ ---L�I�I, <br /> I hcreb cortity mat l haw�cod and examined this�oP.l�airon and krrow tho srime ro bo hue and <br /> rorrecty NI provlsions d faws and ordmarrcas goremin3 Ihh type d wak wJll be mmpbled <br /> wheth�r spodliad�oroin or not. 77�o gru^t1n9 da l�em��t do°s nof prosume to give nutl+aYfY ro <br /> violelo or cancW tlro provisions o(any othor stnta or bca!law rogulafin9��cfio�or fAe <br /> j�oAo++nnnco o!ODnSiNc+iar. That I am aufhorizodbY <br /> Iho ownor d lhis !o pertam U+o <br /> wak for whicf�apPficatlon is mocfe and I oomply wrtf+UK+S�ete�^ �Law 18.27 RCW and <br /> 29G.ZOf1 WAC. - <br /> ! ._ . . . . _ ��'�-/`J�G'�� <br /> t <br /> �. �. . . � . _- Ualc <br /> Sipnatue ��L!( � <br /> n �" .,�ifid<�� �! <br /> ��/�'Ct.�. �LLC.L_�1� �-� �r i <br /> �l.r�/�,� <br /> —�----- — <br />