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10/21/'LO10 18:00 FAx 4257445355 JOHN L SCOTT LYNWD CfR f�002 <br /> iuiziixvtu io:na heX 4'LS 257 R857/; EVERETT PERMIT SERVIC�' �001%002`" � <br /> V -' �� <br /> . �u;i <br /> '.:;_ i <br /> .c.i� iha 'i <br /> , <br /> ELECTRICAL PERMIT APPLICATION � � � <br /> CITY OF EVEREIT PERMI7 SERVICES ; <br /> 3200 CEDAR 8TREET� EVERE7T.WA 98201 /D -'!I -/D . ._! <br /> . 426-267-8810 - FAX 425-267-8857-www.everottvva.org ��/D/O.OB�j/ •. <br /> APPLICATION3 ARE ACCCPTED FROM!AM TO 4 PM � <br /> . - i <br /> S"1'"/ c� � � iv, I l��'� ��(/cn. �lLf uY1- �j'� Za3 i <br /> PROJBCTADDRESB i;:;,.- i <br /> 12 1 b 1 S t s�.- s.✓ �N" rn,y�. �l�'�3�' . -_-._ .. ,� <br /> /'l��t�l � ��t� ��� ��Va/�Cfl�✓' �C� :� <br /> Owner Me�Addrw� Cny 31eEdav pt�^!.:� . . <br /> � <br /> , <br /> TMt�f1t (( NW Hddrw Clq� SIa�MIIP PtwiN i <br /> �S lSc�+-. �� _ CS1nS ��1q/ls� 1� <br /> El�ctricd Contr�ctor Mri AdMs� Gq� Eh�Vnp Phon� <br /> • Sab�LJc�nN Numl»r Contr�ct P�ot Wak . __._._ <br /> Propoeed use or Bull��a CoMect Psnon (Pbn RwA�w) r <br /> Duuiptlon of Work to Be Dane: _ � ���«1�;c.� w� c�� ��� �r 1—��. � � _- '. <br /> YCT/t� =r���:,_ <br /> �. . <br /> .._.— � <br /> IWIIH <br /> � ' <br /> NOTE: WIRINO IN NON-DWELIINOS IS RE4UIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABI.E. - •- <br /> i <br /> CITY OF EVERETT LOCAI.SALES TA7C CODE 13�106 ,_ <br /> l hero6Y oe�fAet I heve read end exam/ned th/s Qn and Anow e aame fo b0 We end �� �O�O r �Q'C.� <br /> c�ort�ecL A/l v/aloni olfewa an7d}o�rdMr�a�n�aa perv�m n �.p�d wll!De oompleted � � <br /> v1aJ b or!c1yqaA'd�n ps�!o�n�.�of•��f yaOtllOCn a+o pe�003I eol.prowms to�oau(holJty fo .-•• - i . <br /> /� ep 9 <br /> ��N71�11p OOdOfllS. 7r�ptla�i��brn e��aflilt�tOpRlfOrtnihe� <br /> � wA de fe27RCWa <br /> � <br /> �— �0 zl — I� <br /> •Q"' � rr,�r''.: <br /> . --._. .. .. ;� <br /> 10/21/2010 THU 15:39 [T%/RX NO 5983] �-00� � � <br />