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nsiia;.^oi�, ?o ,� r-25r P ooiiooi <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEnAR STREET, FVERFTT, WA 98201 <br /> 425-257-8810 • FAX 425-257-8857 —www.evercltwa.gov I <br /> � -15�5� � <br /> �� Cj5d;�0 `�� <br /> _�9�?yo lv I /'� .��� � � <br /> PROJECTADDRESS � ���� ' <br /> v�Nu,i GvoN_�Fklt�.L d�lZm lD� /�� .f'� ��,ta� - <br /> Owner 64W Aaarxss Gry Sutr.Lp Phone <br /> I <br /> I <br /> ------- ---- -- --� -------- ----- �. <br /> , Twnant AM�dMHms� fw,ry :;IetN7V+ � 2� �Anrw+ <br /> �k�I NpF1 .�� l�o l��k /Y� �'/�cL, ��,� Z/l�i ' <br /> t ienrir.�i Contraanr r.v�a�neroRr. ay s�r.e?;p t�nan <br /> �'uF�ur.� l �LL,P 4 � G 3G � <br /> StntO L�cens�Numbu�(ruduvwtl) Crty ol EwrotlBusinxss Lironce Number(ruquirm) <br /> _�Ic/� �rr}' oF lz//.�./1�� --- <br /> Aroposed Use o'Owlang Contrati Pnta of Work <br /> %�� y� �7� Z � �s , <br /> SQ:l.IfU FOOL'IQB(II ftl510M113�fltlW COOS�R1CiRX1 rumodel w add mn) Ccntacl Pers� VC�ntarY Numhedt mAd ' <br /> � �/ � /'FlC U� C G�t 1� <br /> Numboi ol 00vKD.s(It low vol4Yw) !7/'F' �/�� <br /> p � � <br /> Unsr.nphon nl W ork m Be P�ure�. _. . . �l/'I C�I`, — <br /> -- L('aFl a ll�-�� —� �---l^'q-/l of� <br /> � -- - - ---- -- ��=�� <br /> CRV OF EVERETT LOCAL SALCS TAIC CODC IS 7105 F��^ _ r �� —i_ .I <br /> Q� I <br /> i�n,moy cnrhry mnt�nnv�rw�d unrl wrumin�rl mis npMicahun und wnow Ihu s�mo!• bo wo ana J <br /> cnmxt. nu pmvisfons ol lews nnd ani�nnrna�.qrnwmmg Ihs rypo u!wak wiU bo tompfared - - <br /> w�othoi.•.poc;liod Aomin ornot Tnu 9nroony o/u prrtn,f doxs noi pn,sume to grvo aurhor,ry to PtRMR# <br /> � vioiuln or cmrco�U�o prows�nns ol eny o1/��n sYefn nr lacn�law rS,yWa�ng consWCGon or the E �5 p� � I b D <br /> �wrliumunr.x o/cunsln�diai rn�,r�em n;�m�v�:Md ny rnu ownvr a in�s y000rtr ro porrom,�no <br /> woik lor whtih n p6ceGon�i mndo an0/mmpfy w�N f�o Slnfn CentrerYnrt Lnw 1 f1'J7 RC.W nnJ <br /> 2y6.'l0U W . .�—_ ___._._ — ._____ <br /> �f � <br /> .ay�aeuw uxe� <br /> t�+YnoM�Tur. <br />