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ll/ll/2010 THU 15: '.6 FAX 360 805 0287 MILNC CLCCTRIC m002/002 <br /> r,..� �� /u v �7Y <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � i_�� --ia <br /> 3200 C6DAR STREET, EVERETT, W� ��7201 (� <br /> 425-257 SBiO - FAX 425-257-0857 —ww�v.everell�+a.org C����`06 � <br /> �pPLICATIONS ARE ACC[PTED FROM 8 AM TO� PM <br /> --- --- �� <br /> ---- — ------ --- - c._./j y� ,�� I <br /> "�� Gf��/n.2� �t�,3✓l C C,c�Zc_i 1 <br /> �U J �j (..-../ <br /> PROJECTADDRESS <br /> ��u��r5 � n � � c....�� �i� r J / ---- <br /> ,/'J /S �7c 3)✓) N'1 S I /%� 1 S�H�TR. _---- <br /> �_'___________ Staie/Zip / P�G�q� / <br /> OwnOr Mnil�Adress C�ty KG-��vt �'�Tm (-Y/N <br /> 5�37�' -- Phonc <br /> Slale2ip <br /> (enanl �dail�dAress Cny -��i P :(S�3 '�7 C. /7 <br /> ../ �1�'3 � �.� <br /> r1���n.� L- z rTl�c /4s�� �7�� D✓1 sc" i��.�t<, �- � -- <br /> — s:a�erzip riion� <br /> HEctdCdl COnlr,dOr Mail Addie55 �'�Y <br /> �7'I /Ghi�Z����� ��� ConV.�Pric�Wo�� '.�. <br /> SI�(o I.iCr,nse Numhcr <br /> /,/, I�L f7 C —�L�AI�/1'��L L C�Z <br /> /- r����S � � Contuct P^rson (Plan Rev�ev:) <br /> � i�r000sea use oi[3ui�diny � G � ,.:> . j 7�� <br /> � / /ai.� i=NC. C.0 Sv.£3G:- L.i/ T�S S ��t't�l� � <br /> �I Rescriplion of Woih to Be Done _��(?/7 �'f"✓��/'� L <br /> � /2✓'.� �(7�..�T 7v /J�'v" �/k,-zL� G ��� s _. <br /> I __f_�c.,� -rC N ----- - � <br /> I� � , S• �;��j�� � /n� s �u1 � �� c.nvc �sc�u��'�.,�r <br /> i -- ,..�r�� . _�— — <br /> NOTE WIRING I�J NON DWELI_INGS IS RE�UIRED TO FEE � <br /> �E IN I2AC[WAl'S, MC OR AC CAULC-. � <br /> I� CITY OF EVLRETT LOCAL SALES TAX CODF IS 710G i � C�� I - GIP�'t" <br /> � !Yore6y cerlily Ihaf I have iead and eam:vnod fhis apPGcaLon antl Hnav Iho same to be hur. �no <br /> �onecl ��l provisions ollew5 nnJ ordmoncas gevemurp fhis type ol work���ill bo complote�l <br /> �t.Hnfher specdieAherein or nut iho 9ranting ol e pormd does rnl p��swne(o yrva 2ufhonty lo <br /> v�olafe ur cancol Iho prov(sions ol t�ny olher sfafe o�loc�l l,ur mgulnliny corshucGon or fhe <br /> ��rilorm:uico o/consliucGon. Thn!I um nuUia�ized by fha on�ner o!�his propedy fc per7u�m lh�: <br /> �vorh lur�vhkh applwalion is ni.�da anJ I c�xnpty�rdh Uie Slale Contiacfors l.a�:� 18..^!R..N art;Y <br /> �� :��6 200 WAC ., <br /> j � 1 ) , ' ���� ��� <br /> � _ ,,.,������..... _ _---- <br /> r --- Dele <br /> inlurr <br /> � <br /> I <br /> I ___—_—'__ —__— <br /> I . . _. --..__'__'_ _'_—_'_—__— <br />