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Sep 03 09 04:06p <br />t <br />ELECTRlCAL PERMfT APPLICATl��! <br />�iTY OF EVERETT PERMIT SERV�CES <br />3200 C�DAR STREET, EVEREn, Y\�A 96201 <br />425-257-88i0 - F�:425-257-885i—vnwv.everetnva.org <br />APPLIC.4TIONS ARE ACCEPT[D FROPA 8 AW� TO 4 PM <br />�+l 11 � ,� � � <br />P�OJECT ADD�ESS <br />p.2 <br />11� 5 ac.:-e��S <br />r , �� _ ��'�~ S� t�� 5,�; -4�.�O1 <br />, � \ � l �� �� � • � Sta:el'ip �hone <br />O«�er <br />'QaP Addre,s Cicy <br />Tenant <br />Mail Mdress <br />� <br />1 <br />� <br />Gry <br />\l Y 1 ! CI� <br />Electri:zl ConVacter Nai Atldress <br />.S/Z%��/ <br />,�..:'�:�C�_��Jlr', ��c, <br />��� � <br />Stafe Uxnsc Number <br />Propcsed U=_e of 8uilding <br />Descnption of Work to Be Done: <br />�� �E EE 1N R%,CC-'.NAYS��CLOR AC CAB�uIP.EC TO <br />CI1' 0= �EReTi' LOC:.L S:.LcS T:=, : C0�.7E IS 31u'i <br />or <br />reaC and e:;amin=� this a�:licatior`a�d <br />_� � <br />iq%� <br />SIaMJZip <br />(��t513'rl-C ti{ <br />,-r . . n C�: • � <br />sw�el��r <br />� � �1�� �i <br />Contract Pr�.ce of Worrc <br />Cont�C Person (Plan Review) <br />:ow :iie �+me :o h otrue and <br />a�xl:wi;:5.:ac^� i'd _ <br />es:rmo ro or:e a_K!r.:'i!1' • <br />ing consr��ion or the <br />iis vroP'nv}o e'ro:m the <br />a�rs LaN� �3.J RCW and <br />°l --3 -o�l <br />Pt�onc <br />Phore <br />