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Oct 21 08 IO: OSa Keller Electric, I�c. 360-668-7431 p. l <br /> � <br /> ELECTRICAI� PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET. EVEREIT.WA 98201 <br /> 425257�810 - FAX 425257•�88'�7–ww+N.evete�'a.°rg <br /> APPLICATIONS ARE ACCEPTED�M 8 AM TO 4 PM <br /> � I �� L✓ETMo�2L {}�t/Lr. <br /> PROJECT ADDRESS <br /> ,1 ,. �'ere.F �cP � Mo,2E /kvE E�tKlci r 'q <br /> � �, sNcemv Pnone <br /> �M 1Aaq Adaress <br /> Gy � PhoM <br /> Te�nt Ma�Md�ess <br /> ;µ�SE SNai/oM�JN wa 9fZ`I� 42s- +h8�- fr��Z , <br /> n'Eu.Ert �/-�GTrzrc. /�✓� 9!c�S /A"o �� P„a,o <br /> ��rypl Conhaftor Mau AtlA�ass �m <br /> oZsp�,• o-� <br /> -ccEEt 9 7`��`� — c«araa�tae or wax <br /> Sta10 IJcense Number <br /> �IES�r�c�fi�sL cornactPeir.on (PlanRevie� <br /> Proposed Use ol�uad'vg <br /> � 4� �.,/ WGLL JIE1r-f£� iti'DO ���o.✓aUE G(¢c�U�l '�� <br /> OesaiPtio^ot Wotk to Be[bne: �l�lJflrL c <br /> �c� ,_._ /.� Il�rr�F r}O.0 ,P�c�,�c� ��• /-7�MNtJ 2noM <br /> NOTE: BERN�C[W Y8 MC OR ACICAB EUIRED TO <br /> FEE <br /> Cny pF EVE(tETT LOCAL SALES TAX CODE IS 3105 <br /> �rrocY. A ao�vL�vons d f wsde��s g�iae�N�M�rYPa d�wiA�ornWbted and <br /> whether s�edfred l�orein or noL The 9��9 d e n��5��'°s,mre ro��N ro <br /> Wolafe ar cence/tlro nrt7vla�i. Thot I am��by�tlra o�d Nds �P�m� <br /> pwlom+mce d tonstrrictl (�w 1 d27 RCW and I <br /> wak!or whidr uPPlicatim!s msde and 1 oomPly wIh tl�e Siete <br /> zsc.zoo wac. (� I G , � C <br /> - /� /�/2�/of� � <br /> �+ � oero <br /> sqnoare <br /> � p�r� oh�-<- �� c-r..£n,r �srno Ncu�rB�. yZS-4fri- 83�7 � <br />