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07/08i07 SLti 21:1J FAS 425 J55 1810 DLTIO\ ELEC1'EtIC <br /> �00�_ <br /> ( � ,�GO � EC 7- BQ <br /> �----- ------ � <br /> � � <br /> ' ELECTRiCAL PERMIT APPLICATIO:� <br /> ' CITY OF EVERETT PERMI'P SERVICES <br /> 3200 CEDAR STREET, =VERETT, VVA 98201 <br /> 425-257-8810 - FAX 425•25'-8857-vn^nv.everettwa.org <br /> � APP�_ICATIONS ARE ACCEPTED�R^�19 o.PA TO 4 PM <br /> 3025 l�c�c�re/1 ��c�v✓E <br /> PROJECT ADDRESS <br /> �7hc �vEr2ciT C'c.in�c 3yol �-/oyr ,Qvr.�av� �'v�aEli wA 9Ptol �as Zsr//F3 <br /> Ovmer Mail ACaress City Sule2ip phona <br /> Sane <br /> 7enant MadACdresc City Slam2ip Phone <br /> �n9.�F,[CepJ�C C'o..rv� /l�/o� rir+.r��7to S,�dy���/70 ���7k'� t�i} 98A1'� �ytS 3yi•76eb <br /> Electncai Contrac;or ntai�aaw;s Gry Satemp Pnone <br /> �rir�sc i�,=P3 ''P zsoo• " <br /> State License Num6er Coni:aC;Price o`WorN <br /> Sua6t/iy �tn7t? .�f �'lc(y��vc��vtS�Bs'C'Y913 <br /> ProoC�ed Use of 6uilding GontaCt PeiSon �Plan RBviewl <br /> � <br /> Ce;cnpnOn ol Work to Be Dore: G���/r7D2 (/�6?eO�' �_ 7lrG ��K S��'Mr CG?� <br /> I 1 <br /> I <br /> I NOTE: �NIRING IN NON-DVVELLINGS IS REQUIREG TO FEE <br /> i BF. IN Rr10EWA'!5 iJiC OR AC CAELE � i <br /> i <br /> CITY OF EVERET7 LOCAL SAl.ES TAY COOE IS ]105 <br /> I1 h@r?by[BrtfL Ihyl!h�vZ!ead.'nncl eRfrirEC p�i5:+GH/i,;?hon ?rr0 Knr,r�;^e YS01[ ;p/;p!ruc a0d 2 <br /> Ca^ci� AIfC��vrsror:5o�lav�sanCr,�Cinanr,esuoverniny:h�;tYFci>lv.trF�.iJlr,9v��,7F;`�C'C1 �U��l�J1'U •7I <br /> � �•.��efher spep/rerl h�rem Or r,cl �he g�gn�mg of a permrt c'o=s r,ct pn;cr„e fu:iv?turl�or,t�to <br /> I w[!J(B Or�3lif,dl f!]e(.`r�NSrOrlb 0(:Jrly.�(fe/,:fJ(B O�ICCd!le�•/19f�'1.'l�flpa'TrSlfU;1�0i7)l�hQ <br /> Iper'Crmanr,�pt cpns;rur,lic� 7l;at!am surAr.n.e:!nY tne r,.�,�nei or;,^,15 nropr:rf7 to p!r,enn Ltie <br /> vw�;or a:h;cn dpp6ca�ron is rnaCe an,�!.:orr.ply�.vdn !C9 :tan Cnnrr?cYc rs L:w i�i�%aC4Y a�iU <br /> 2�0.200 iv'AC ,// �/ <br /> � <br /> � o,� 0�'�6� _ <br /> s�-,;.,,. :c,,_ <br /> � <br /> � <br />