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23/10 2012 13 �. 12 FAX �0007/0001 <br /> '.._,......_..____�_..�__..._..__�..__.—._._—, <br /> _..__..._..,.._,.__. <br /> ---...._--- _—. _—... _ <br /> . l <br /> � <br /> ' ELECTRICAIL PERMIT APPLICATION <br /> CITY O�F EVERETT PERMIT SERVICES � <br /> j 3200 CFDAR STREE7, EVER�TT, W6� 98201 <br /> ! 425-257-8810 - F�X 42,•257-8�57 –�w✓w.everettwa.org <br /> I <br /> I <br /> � APPUCATIONS ARE ACCEPTED FROM B AM Tp 4 pM <br /> i � ' I� C C� <br /> � �� 4- ( C 7 . W(c�• <br /> PROJECTApORESS { � <br /> !� ` <br /> 4��>I�i(I�c.;.�,1 (��.i.1..- i7 �(J ���ir� 1.�.�,.{ ,� 11':�F� l�u���y ,� l,J(� `��iL'C�'� <br /> Ov✓ner M��I Mdrezs City Slate2�P Phnnc <br /> t�(A.�,i��l�t d�c, E�i�n�..i,��4 Z��il� (-�� -'V��rF.��� �`%Y ����(� � <br /> Tenant Mail AQArex:: G(y Stalr./).ip I°hnnc <br /> i <br /> � Wi�{ rc4/' c � , ._, , ,.. <br /> � �_ t � E(t'C-�.. I Jl ti,} •/�<.l�wr,r�ll� /��.�e JV S/�c�Y'_�,l�c. �Jl�lI�f �---Js,�� ` �= !-ll , I <br /> i Gledri�ilConirOdor M�iiAdJmss ^ (:iiy Slntc,Llp Pnonc <br /> I <br /> 1n;3 i�i::( CC %2'L 'I_�1._ , �' ( � S(.'u <br /> Slatc Lia:ngc Numbor Contract Price'of Work � <br /> ,., � d(r ` <br /> .��r,>Y ('... _.�o<l�J� r�l e;_. .._j�7_...1 f(v� <br /> Proposed UFe Uf Builtling Contact Person (Pian Review) <br /> Descnption of Work to Be Done: �C� LI d'L�-s �(.h� �.,;,� (�(, �5 � 11��.J c� . r'c: ('. .� <br /> _,����i[�i�� _ _.. <br /> NOTE: WII2ING IN NON-DWCLLINGS IS REG2UIf2�D TO ��E ---��."`—Y" ,' <br /> BE IN RACEWAYS, MC OR AC CABLE. �� 5� <br /> ICITY OP EVEftETi I.00AL SAlES TAX CODE IS 3105 , <br /> 1 hen:G�Certify iha(I havo�L'dd and esamired;his annncaGUn and know Il�e same!U ha trut?and <br /> r.nn�ct. Alf��roviSibns o/l��v^��ntl oidin,�nr,rs�ovnrmnp 1h�s ry��o n�«-or�<w�u uu com�roied ���r,� /_ I � �\ <br /> ivh0lhor sppwdi�d hCrtrin ornt�(, f��u grnn6n�o!n pCnnd r.br.s nof rnsur,i��lo pivr, nulharity fo V`� �J <br /> vlol�to o�cancr.11lic provicions of�ny othcr sta(e orlcca/law roguPtinf�ccnstri�cfion or the <br /> poifo�mance u!'constructron. Thal 1 am au(honzed by(he o�vner ol Chrs pmperfy to p�Korm 7ho <br /> H�Ork lcr whiCh nppLcnlion is in•gtlo�ad I rompty wilh fH�Sfafrs Conlradnrs Lair iQ 27 RC W and <br /> 29G.7.00 W�C. � <br /> i . _...�-..... ..._.,..._-"' <br /> .. _.....� =-? , _-�� / <br /> �-� ; .. '.-_� -- _ ��! i(? I � � <br /> :If�rlLiLrr -- �.'V U�iC �� <br /> I ��l <br /> � <br />