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To: Page 3 of 32016-03-09 19:16:43(GMT) From:Tyson O'Neill
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<br /> ELECTRICAL PERMIT APPLICATION
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<br /> • :, • CITY OF EVERETT PERMIT SERVICES. ......
<br /> 200( EQA.R STREET, EVERETT,.WA 98201 .-•
<br /> 425.257-8810 - FAX 425-2. 7-8851.—Wv65t.eVerettvolta.:•99v• . . ..
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<br /> 33.. .2.•:•. ( .___________ •..
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<br /> PROJECT ADDRESS. ••
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<br /> ..8e.i., Aieuoio a ,77-.- ,2. 7 i0/4 -/-A,:-,,,v',4 tt.---e--re l.-/- .4),YA- if.4?•%7-0 f A's"9u•**Z-:kie.--::.•
<br /> Owner MarAddress City Stetealp Phone - •••••
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<br /> T4a!fl ant •••••• ••Mail.Addre. - 'City Stete•l.ZiP Phone ••
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<br /> : ...•4151-• . •:••,-. ... :,&-": '''.' ...t- s• .:. .'. O ? 'J')484.0,,e./4,..?f:—, 4th 5.P ! •" ?) . ';cirV'X's—-
<br /> 'Ele ,i.Cat Contractor MO Atidress City Statealp. Plione
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<br /> .tR•.14..N..e.jef(41 tf. 7.,r-elfr 4_:.9t
<br /> ' State Li6ense llurnber(reilyinkl) City olEverettSusinass License Number(required)
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<br /> ' PropoSed.110.0•Buildina Contfact.Thice..of Work •44P• Actg.
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<br /> ! 6e-pc.......;- .,....,-;.,4.-},- -451r--. .5'41 • .• . . .
<br /> a,- „2....42 b. ..,,r.4.•0-7 0'7 • 24..
<br /> Squaniw•Footage.(If:resiciwitial new.constructioreternodel cr•aOditiorq. 'Contact Persocitontact..N.CitnberfEnialt
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<br /> . -,40 • 1
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<br /> Number cfctewites.(If low voltase)
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<br /> Descriptam of Work ta ae Done: ..it;t4V-1.4-e..L . 4.29!.ip .i..t--:,--. .. . ,
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<br /> FEE ' •
<br /> Orty oF EVERETT LOCAL SALES TAX:COlig IS 3105 ... •
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<br /> I hereby certify that t haw read and examined applkation.andknow the&amok!belle.sod .L
<br /> coned AI proViSions of laws and ardinandas goveining 4his type.re work Mt tie • ' -
<br /> whatherapecitied barefoot not: The granting eta petn7it.doea.Mg Presume 10 ViVe adlb.Or#Y:to PERMIT*
<br /> violate.orcancei the ptuvisions of any other State ur local Mw regulating construction or the
<br /> performance of constnchon. That.I am authotix".0.0 the.oWner-PrihtsProOrtY Ig P.40arrn the E Ile& -
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<br /> wot*tot which application 1$inada (comply with the.State tontiactors tawand 10.27 RCWa
<br /> . 29-6,2014/AP.
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<br /> REVISED 064:42(11 4.
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