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^ FROM_:Dick Howard 8 Sons Electr� FRX N0. :4257765895 /- Aug. 12 2011 11:42RM P2 <br /> •--- l <br /> ELECT ICAL PERMIT APPLICATION <br /> C�7'Y EVERETT PERMIT SERVICES p �S�_�� <br /> 32 CEDAR STREET, EVERET7,WA 98201 p` <br /> 425-257- 10 - FAX425-257-8857-www.everettWa.org C��08`"��� <br /> APPU TIONS ARE ACCEPTED FROM t AM TO 4 PM <br /> � ^ � <br /> PROJECT ADDRESS L�aS _c� �_���� <br /> �1 C.�aC. f tti���- o`�� 1S ( r�' �n1�f{ � I <br /> py„r�r Mail AQ0 Gly Slals/Z1p Phoro <br /> 7eneM MaA Add ss Gly StalelZip Phone <br /> �las- ,��- ��i� <br /> �L � ar� -� �� � °C' a `4 <br /> ElechicalConlreclof MallAdd Clty St�t�lLp PM�e <br /> � ���Dv <br /> 5 l � <br /> Stete Llcenae Number ConVect Priu ot Work <br /> Proposed Uco ot 6uiaing Contect Peroon (Plan Ravkw) <br /> Description ot Work to Be Llons: <br /> �- a �r� <br /> \ 1 <br /> 1 � <br /> w b s- ve('S � . <br /> � � aS�w�e�` <br /> NOTE: EIRN RA EW YS MC R AS I AB EUIRED TO F�� <br /> CITY OF EVERETT LOCAL SA�ES TAX C E IS 3106 <br /> 1 here6y ceAHy fhat 1 have reed end examl fhis appficeGon and know fl�e same to be hue end C I I OU - Q(�/ <br /> tolrect. AI!provislo��s ol faws end ar/rna povemin9 this�ol work wlll be comP�sfed �.�6 O <br /> whetherspeciflecl herein ornot The Argnti ol a pertNt doe natlxesume fo plvo eufhwity to <br /> violafe orcancel the pmvisions ol eny othe tete alocal law regulefing conshucfion orfhe <br /> perfortnancq ol rorrsirucUon. Thaf I em eut 'zed by fhe owner ol this propeity fo perform the <br /> N,ork tor wh�ch applicetion�s ma0e and 1 tn ty with fhe State Contrsctors Lew 18.27 RCW and <br /> 299.200 WAC. <br /> � �' � <br /> M( OG�9 <br /> . . _... ....- .._�I <br />