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To Page 3 of 3 2015-0642 'I B 33 35 (GMT) From Tywn O'hJeill • <br /> ___—� <br /> ELEC�'RICAL PERMIT APPLfCATION <br /> ' CITY OF EVERETT PERMIT SERVICES � <br /> ' 3200 CEDAR STREET, EVERETT. WA 98201 <br /> i 425-257-8810 - FAX 425257•8857—www.everettwa.�rg � <br /> i ( �ZZ—�5 <br /> i �� Sn6��5� <br /> i �G� �J CVC�'c���C'��� Gi�c'�.t-( <br /> � PROJECT ADDRESS � <br /> ; ri�ilti �C'.�G U�L�L� lL'(D i3 'L�f%i'/ �PC'i� �GZL/ �SOLif�� E'-�'C��C��u��i �'���'`r <br /> '. Chvner nWi�F�nJresi eiry S�a�e2p Pnone <br /> I _•.��,�/ {�i I <br /> � 7E1:2;ft MHIIl.00fe51 G(y SIBtPIIIP PNaic I <br /> 7i(Ll i/iC�i = f C}�t'iG l�(� �•l' 9�(,� �{ /Lt-/'!l//v�? t,�1f� 9�Z.35 �3�D0- �G� 7 <br /> �'� Elerti i Convador �eait?aa:e�s Ci <br /> � tY St�trlZW P�cne D�C <br /> i _ BALfUiEf- q-��//UK USH�I�E� J <br /> � Statu nse NwnGer(requu�C) Ciry of Everett Businesa l.uc+rtso Num:er(reGuiretl) <br /> ! a,so�. c�o <br /> PrcpcseC Usa of puilding Conira:t Pnoe ot NIOrfc <br /> i <br /> j i�u� ck� y�u�sc,� y2S-,30-z� ?o <br /> �uare Fno�ape pf resitlennat new tonsWc6on,remoCel a addiuon) Contact Perso^.:Contaa NumperlEmall � <br /> I <br /> Number of Oewca;(If law�oltage) <br /> iCesuiption of Wcrk!c Be Dox: I���S^�I� L f {�J P l.�J C�����'✓ (�f r"��L.� C a,L�L(.Q ��J�fll I <br /> , ?��lC.�P (' t'� F� S Li�00�'✓ . C�I�D . <br /> ' FEE � <br /> � CITY Of EVERE7T IOCAL SALEB TAX CODE IS 9106 � <br /> ��D .� <br /> II he�ehy certiry t�et!have ieatl ond exeminedlDis epp/ica0on end know tbe Some ro Ge huo und _.� <br /> connct Afl pmv�s��ns o1 iaws antl aoin&nces.goveming Mis rype ol a�ork will be camplofod <br /> wAe(he�specified here�n cv nd. The 9runb'np o!a pennit dous rrof presumx to give authonty b PERMRw -� <br /> . �niafe oi cancol me provrsia�s ol any oMe�state alxallaw repu�a0np consfruction or Ne � <br /> pedormnrtce o!cpnsfnrYmn. Thel!am authotlzoJ by the ownBr o!lhis propbrty fo poAarm fho i E I 5 0�- l S� I <br /> Iwortr la wASc�app�icerion is moCa nnd l oornply w�tb ino Slale Ca�Nadors Cnw 16.27 RCwanO ( <br /> 286 2� <br /> i � � / <br /> � � /C <br /> i5�qnature eate I <br /> i <br /> � �ensr�osos:o�. _____� I <br />