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Sep OG 14 0/ 55a Forrin Electnc Inc 4253377746 P 5 <br /> • • <br /> i <br /> � ---� <br /> i <br /> � iLECTRICAL PERMIT ARPLICATlON <br /> CITY OF EVERETT PERA�IT SERVICES <br /> azoo c�sr��r, Ev��r. wa sazfl� <br /> g25-257�870 - FAX 425-25T-88S7—WVNv.ever�wa_arq <br /> � :�,� 5 S� 1�2Sr C��- u5 I <br /> ��� <br /> S � � �Lo S� �����t+n�aii�,cy �Id i <br /> ��'� C�t.��� S <br /> �� r��� ioo �uere,J-t 6vi4- `T�'lo`( 9s 3 �Fe�� <br /> � � Prori <br /> Tenan! Mail F.ddress <br /> C�ry StatM'L�P Phonu <br /> -�r-�ri� �'I�J�ryLi� �o��a� 12(oL�F f)t)I�CI'aol� �,Ef r�)dYZ �fJf3�1S-3 <br /> aecmwr�ma� „�� <br /> �' SfatelLp Phcnc <br /> ��i` iE �: q3� K� -T <br /> b7ate 1Jcefsse Number <br /> ConV".sY Fri�a}Wo�K <br /> 1�;-�Uv -l�i,�.��'i �- <br /> rroposea Use ofBuddng / .J <br /> CoMadPerson (Pfan ReNe�.v) <br /> �1 �G � <br /> `�'ef@ f��rx�vow�lc5on.romodetwauu�tnn) <br /> Number of devlces(IF lowvoltage) <br /> �pteon of Work m 8e Qona "v � �Q_ �J..Pa.V S!'yr� �iM��� /�L-��/j � <br /> I '` �- TJ �- P�fl.�- °�_ <br /> FEE <br /> CtTY OF EVERETT LOCqL SAlES TAX CODE IS 3105 <br /> 1 Re/e6y oe+6ly that t 6are rsed a�eser+dn�M Cils aolylrl+fian�end larow(lto same to 6e Ituc and ` 20 � <br /> conea aearo+asfmu a�ws�ameir,s„oeu�eurg n,is rypo oPwa.fr xvAne wmp�x/ <br /> ���spedhcldherrfiorrtat 77ie,grerM'ngofapermr7docsnotpr[tstmrofogiveauU+nnTyto PEftMIT� <br /> P+o�sions a/any aMiarslaro wloca!!mv roqu/uAng consnudlon or Me �/ <br /> pedam�anco of constr�cry'on, 7hat f em euthrnnatl by the owrxrr ofthis pmpoily fa pedwm!he E I �O `�I - ��� <br /> �w�k lor whlch appficatlon is made end/comp�y wrNry�the naro Carrtr�crors LaN 18.27 RCVYantl <br /> 296.200 W C. /� <br /> � � / } <br /> _ l� � Z�-r?1,^� ��C� ../�/ <br /> s�ymwro � <br /> OOIO <br /> 78�7�Vt� <br />