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From; 051nR/2012 09:58 qi34 P.002I002 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 426-267-8870 - FAX425-Y67-8867-www.avereriwe.orp r p <br /> J — 6 '- IZ <br /> APPLICATIONS ARE ACCEPTED FROM!AM TO 4 VM C�ZOS `v�/ <br /> t�AOS W. CA4iND PaAD �taWNf L(�f6. <br /> PROJECT ADDRE88 <br /> TJ.��_r� wi��l T.�OOb W tAS11W t�� �VL�EtT w/A 98� <br /> pwner Mell AOtlreu Gry Stde2p P�one <br /> Q,�n�.�c..Ow10A — <br /> Ten�nt Mdl Atldnu ciry 61eta2iD Phon� <br /> :frwN � �,�v �IDo Nf SIaN��.!'LlfJB �4[RE W/f 7�3 2CY.•G33•L81/ <br /> El�ctriul Contrador M�II AOAra� Cly Stdu2lp Vhons <br /> 'TirRntE� �C•SOS � <br /> Stat� Llun�s Numbar Contnwt P a of Work <br /> Propoeetl Uf�o Buikling ConUct Penon (Pl�n RevNw) <br /> Dascrlptlon o1 Work to Bo Dono: �ST.IGL Z CA'/lD /Z�DC/c�J ��� <br /> ��/�/�S���S <br /> NOTE: WIRINO IN NON•DWELLINOS IS REQUIRED TO FEE <br /> BE IN fiACEWAYS, MC OR AC CABLE. / � f�O <br /> lp <br /> CITY OF @6ERETT LOCAL 9ALE8 TAX CODE IB 710! <br /> I h�nby certiN thaf I heve rsed end exeminntl fAle eppllcad'on and know the eemo ro 6e trua 9nd a I �,l� �� <br /> corrocf. All p/Uvlabne ol laws InJ oidin�ncvi ov�minp fhla type 01 wprk will b�complsbd t ��_� � — (� <br /> whether iprolfled hemin o�not. The prontlnp S/�p�mu(dosa not raeums to Ohs sufhorlfy to <br /> vlolete orasneel fhs p�ovillnn�oleny ofher itate or bcellew ropuPfinp mmlrucflon or fhs <br /> p�AormancvolconatrvcNon. �eflemsuthoAredbythsownerolNlcproportyfoperfbmifh� <br /> work Mr whicb eppllcafion ia matls and l compty wlth t a SNN Conhacfon Law 18.27 RCW ond <br /> YOB.P00 WAC. <br /> r- - �f� <br /> sy , .i. <br />