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ELECTRICAL PERMIT APPLlCATION <br />CITY OF EVERETT PERMIT SEFtVICES <br />3200 CEDAR STREf-T, �\�ERFTT, 1NA 9E3201 <br />425-257-HR10 - i=/.ri425�2G7-EiFi57-www.ovcre��w��.or� <br />J,aN ,� <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />/�//(� /����/l� /� c% Sir /l%.2 <br />PROJECT ADDRESS <br />�N91e! . AL�n/'� Ad�hnrs <br />�7 `/,� li �l� ! (( ���l��i f ��/ <br />� 1���—L <br />TenaN <br />!`� .. , �� ���i <br />[�ocincal Contraclnr <br />Moil AtldrUss <br />+�ty[ • l.: <br />J MalFtldmss <br />�� , ; I �� �l �� �/� /� I <br />Slalo Lir,ense Number <br />Proposed Usc of E3uildin9 <br />Clly <br />Sla�c/T.ip <br />�/(�I ( � /(�/1 <br />Slala/Zlp <br />I ' . <br />� . 2Z—/� '�' . <br />�i1�0 1 �07(% <br />PhN�c <br />//�'; i <br />(� T p <br />,(_�ll �/L �J t� �. <br />Phonu <br />S/�^ I <br />�;r%�. / i l' °lr�,�; �f'a. s�z <br />Slaln2ip ^honc <br />r <br />, l ,� l� l�C, <br />Contracl Price of Work <br />'� �?,ZI'!'. � 'li�)!c�i C_ <br />:;untuct Ferson f:an Rovmw) <br />Desr:ription of Wnh, to Hr. Donr.�. � 7��y -l� S! C� � J'// (i l�/ 1"7 — <br />NOT[ WIRING IN NON-DWGLLINGS IS REOUIR[U 10 <br />�[ W RACLWAYS, MC OR �G C�[3LE. <br />CITY Of [VHRfTI LUCAL SALLS TAX COU[ IS 7105 <br />I hnmfq-rrrfPl� fh;;l l n;rvr rr;i'un(1 czannnudllus 1�PP��Ca6.n unp knnw 1��..1 Sasn lo 6r dur ,vtd <br />�vficlhar ypurihnd Nnn�m u�lnr! �fhr �l r�v7luia til n �m�nri f Auih'n��t�Pr�Vsmr �v�fo p✓r ��ufhn.�Ay !o <br />��mla(r nr nlmCcl f6r prnrisrno, nl nn}� ofbir :�fnN nr In�:al Imv'apulfilinp r,unshu:hon rn fhe <br />purinnnanr.r ol consfnicl�nn. Ihal 1 arn auNinnnrd by fhr uwnr� ol Ibid rupr.rl� 'o Pednrm !hc <br />.vn�h l.v whir.h nPPlicn6un is m+Wr and I c✓ntplp wdh thr Sfnlc Confrr�c:ur:, LnN �(:�: ��Cll' and <br />:��c : no N�nc- � � <br />. �� /1 � � <br />, � <br />'i ' �/( ; �' <br />._ <br />-- ,��� � �u;���� � � - � - � -- <br />� _ __ —_-- — -- <br />f[[ <br />,il! �'�, <br />_��U <br />r�D� <br />/ <br />