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i � <br /> I I <br /> i ELECTRICAL PERMIT APPLICA7'ION � <br /> � CITY OF EVERETT PERMIT SERVICES I <br /> 37_00 CEDAR S1'RE[1', EVERFTT, V�M 98201 � <br /> 425 257-Sfi10 - FAX A25•257-8857 -�u��nv everelt�•;a ory <br /> � <br /> c- � �o4-�73 <br /> 1�3b� llZ�`` ���' �Sl,�� �I - a8-� 5 i <br /> � PROJECT ADDRESS � <br /> I �.��'�-- 7r�-tzo- �'�-�"�� w _�X�►��� -w}'�-9��- -- � <br /> owner � L,niaceres: cry ��ate�zp Fca,e <br /> Z53 3� �S7 <br /> ! ����� _ -- -- - -- -- - <br /> Tenart "���iAaCiess C�N State.Zp Pnonc <br /> y��� I <br /> �SL'-`Y!—__.. _ . _ —. '__ <br /> iL-IedncalConlr2cter L'a�lAddress C,y ' State�l.�p Fnone j <br /> i i�� � _ <br /> � Slale Lcense Number(rr,qwred) C ly ol Lverett Bus�ness License Number(required) � <br /> �2.vO __ <br /> � —� � � 1��11'f:irt ��:�lQ(."i:'�I�. ' <br /> (�fn�OSr�i� ��',r G�f�U�'��nt) <br /> I <br /> � � <br /> DYvn�VIV QY� <br /> � SquarC i�cotaye (I(rt;denh,d r�:�,v runshu�:licn, remcdel cr adG!ion) Cer:lacl PaisnulConj ic1 fJ��mbeoCma I � <br /> i -z5� 3�'7 �f574 � <br /> I <br /> � Numbe�ol dewces(If Imv voltayc) � <br /> � Descnption ol Work to f3e Uonr Ye�la'�2u(r��Ltryj� . .-- . —_ _ �I <br /> � I <br /> — -- i <br /> � I <br /> — --� --- - - ---- I <br /> F[E I <br /> i <br /> CITY OP EVERETT LOCAL SALES 7AX COD[ IS J105 j �D OO � <br /> � I hen.�hy r,ritdy fh.�f I h.�vc rcad anJ c.anr�neJ Ihis nppllcof�on and knov fhc sa�ne to he lri;r. rind ----- �---. � <br /> conecf All prtrvGvons c/ions;inJ crd;itanies yr.venuny(his(ype ol noA�tv�ll te conrp!efud - - -- -- � <br /> I v:heffrci spea�eJ hemrn ornoL Ihe gianfiny ol a pe�nrut dues not pmsumn fo�rvc aufhonty�o Pf:Rhtl��x i <br /> I vinlafe orcanr,el fhe�rovisions e/any ofher s(afn orlecal l,�vi regula6ng construction or fhe ^ <br /> pe�/mmancr, nl consfnidion Tha(I am aulhonred by Ihe o�sna ollhrs prnprity lo pedonn(he t <br /> i �vo�k/or�vhich applicatinn is madr, and I cornply wdh thc Sfalr. Ccn(redors�ar. 78?7 RCW and �_._ O �-/�� I <br /> i 796 200 4YAC. � <br /> I �.�_ _ (z�l2SS�5— -- I <br /> I s 9������ o�i� <br /> I <br /> � � <br />