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10/09/201a l�:la .75ar;,a3)n rilL� __rriG�tC r�uG� y��P�.. <br />--- - --�---- — . <br />ELEGTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />:��oo c�onH sraEEr, cve_r�r-rr, wn ��zo� <br />425-257-8810 - f AX 425-257-8857 - www,everettwa.org <br />LL1l_.l ���_`—;��\ �L. Jl� <br />PROJECTADDRESS <br />�eG• (� !;,� i' <br />Owna� <br />Tenant <br />��� I�i ti� ���`'� �� SC ; <br />61a 1 ACtlrNsx <br />n�na aem�s. <br />City <br />c�ry <br />{�_ � �- �r� � j ;�d-!�'� <br />State2�p vra�o <br />$(AIN!�la � -" _.. ..._ UI1CfIC <br />` �r �� � :�r r- <br />l� ��l'C�i � L'�r����C �(1^. ' ;��;i� r'��1�_���-_c.,,' ��;�'.�ls� �;•i,-�' �f.��L�Y•7 <br />E�eCUical Cor�:raCtc� I,Sa.I nUdress C�y Staic�7�.p �� ��' , 'hcne <br />E�I�_�_Ec�c;y5� -- <br />Sate ,_ixnse Number (rCqulmA� <br />Prcpo5r.d Usu n! Budtlmy —�' <br />SVu�ic FcxNipe �dicsiAr.nl.al nnw cnnylruCti�r., �emOAel o� ntli7ihnn) <br />Numbcr of ticv�ces ill low voltopc) <br />Orucuphun nf INCIk t:� N� OOf7e (L I?I Q(_'�1'l (1 Lt�W ��l.f? C� �l P!' <br />r-- J <br />,JC c" I( ��� f�� r, <br />CITY OF FVLHGTT IACAL Sq�.E3 TAX CODE IS J70f <br />03iSo�; <br />C�ry ot Evi:���t t3us��yss l.�corise Number (required; <br />' "ZO -- <br />CorVad Pnce cf Work <br />�'�� 1�YruL 'i:1.5-��Y�-U3�-.� <br />Cnnpct Pw�Son/CUnt�Ct NUmCr.qCm3il <br />LC <Er.�� I l )ecc� <br />—_ ��-- <br />� ! lremhy cert�ly flrnf 1 hnvn n,od anJ e+;uronAd fnls npPFr.onnn anJ Fno�v fhe samo fo De 7uc nnJ <br />� ronecf Ar pr�v�sruns of lawc and o�dlnnnce, povr�ninr� Mis typo al wo�k wlll be [amplrfed <br />� u�nofno� snec�licd herein or nof Thu �ranhn� ol �� pomVf Oocs nuf pmsumo fu ymo ao7ho�!!y fo <br />v%olok or cnnccl h�e pivvisiuns ol �ny Ofhe� Sfale oi rora' �w royufdLnq ����;;fn�ctlon orfhe <br />punorman�o ol consf�ucbon. I7iaf I,trn aufhonrcd ny u�o .,��ner ol fn�s propeAy to ;�e�Ii]//11 (IIH <br />Ir. ork lor wNmb nppl,cshon is madc and � comUry H�dl� IAe SMM Confrecrors !. a�v f 8 27 RC W an.7 <br />196 2C0 WAC <br />% ° /�/� <br />I ��T " 7'(�L -L(X� / C.i _ C�—�L�! <br />i <br />�,gna u�c % --- umc <br />� F,.�r-or,:s:r. � <br />� <br />FE[ ` <br />5b ��' <br />� -��- --� -- <br />PERNR# <br />E�yio=0�5� <br />