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:�.�4�. C. �l'�Y� 8�.��jM�YF:.....���01 Z.[fUII�I �"i� '� � � :Y�� .I��.OVV�i...� ��� Y � <br />. . , f� .._ •�y�i ' .. <br />_ �.. — <br />� . �� ' , ' .. . <br />�° o <br />♦ � <br />� . .,��' l . '�� , �.' <br />;�ELECTRI:CAL PERMIT. APPLICATION= ` <br />' �`-' 'CI7Y,OF EVERETT�PERMIT:SERVI.C.ES : � <br />J—o1—� <br />- 3200 .CEDAR STREET, EVERETT,_WA 98201 y"'/ <br />' 425 257: 8840 FAX.425 257-9857 ivww evereltwa org • C � z� p� � C�� <br />. : . • .. <br />' APPLIGATIONSARE ACCEP.TED FROM 8 AM TO 4 NM <br />. ; . . .. . . ' . . <br />_al- 5 � `'���'. �Q _ � <br />PROJECT AD�FiESS'. ' . , <br />. �. �• . <br />, .. , . .-, . . • �� <br />Owner-� � : , . .�� ..-r1�PACdross ., . - . <br />�fl �� ♦���� �� � ' �" � • ._.� ��1� � <br />Te?nani <br />M,all Atld•xss <br />Electncal Contrador Man Adtlress <br />�O�iI �(� �>��D7 <br />Stale Ucense Number <br />Propose/ v �ilding O '� <br />_��r— <br />C�ry <br />ciry <br />.. State�Zip <br />StatelZ�p <br />�j�?G� <br />State!'cp <br />� Fhonc <br />r��/- <br />r �onp <br />� ���` <br />Phane <br />� 3 <br />Cuntractpnc t\vork <br />�Qn 5hrr� � ' <br />Contact Person (Pien Rovio�c) <br />NOT[ WIRING IN NON-DWFLLINGS IS R[QUIRFD TO <br />BE IN hAC�WAYS, MC OR �C CABLG. <br />CITY OF EVERETT IOCAL 5..�...; -�� �'�� COUE IS �105 <br />FEE <br />3o�.'�S <br />i heraby r.crvry fhat l7�avc �ea�i end examined Bus epplicaGon nnd know tho same fo bc frue und � /-60 � <br />con�ct Al/ provlsions o(laws and ordinances governm� fhis type oI viork twfl Ge complMed ��� <br />whrthor spec��ed horoin or not The f1��6ny ol a perm t does nof presurne to give auG�onfy to <br />violete o� cancel !he provisions o/any other stafe or local lew ropu/aG'ng construCLon or fho <br />performence o� consUucOon. Thaf I arn nufhonzed by the owner ol this propeRy fo peAorm fho <br />work lor �vhich applicoti0n Is mado and I comply wHh the State Centiactor:• Law 18.27 RCW and <br />� �,�����« � �� �s � -� � _ a5 �-1 � <br />��� c�� <br />� � t i-l� ��-�-(" �'t°u'�- �to <br />