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FEB-11-2005 O8�_3 H.E. MILLS ELECTRIC 35� 734 ?562 P.�1iO3 <br /> EL�CTRICAL PEkM1T APPLICA�fOM <br /> CITY OF EVERETT P�RMIT SERVlCES <br /> 320Q CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-H810 - FAX 42b-267-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 A1N TO 4 PM -QEBR 8 CR�DIT CARDS ARE NOT ACCEpTED <br /> l Z . �_.,.�.���f��1�1`�� � <br /> PROJECT ADbRE&S <br /> . , <br /> S��tT �Y�SC.� �S�r,�a a� :�e � 3�- �1� I <br /> ' Owncr AWllnaarc:s G�y 9hteOJo P�ona <br /> � — � �..�1„ J-lNl� \ �.�Y}V' �-l.? KY�CCJ �� � "' ' 1 I ' <br /> 7ciunt Mell/uldrese Cily , SUte2p Phma <br /> I� l�11-L� E.I.�C,'C'�C l01`1 ZE}.1.1A �1 t_1�1WaJ�,M, �6�.7So �'13S`�S'I� <br /> CIP.dricelCOniraclar FA�IIAddrea� C7ly SWterb9 P�ono <br /> �'EMLI_�L_ d�Dlu(2T" <br /> ' Sr�tu LfrcnSo Nuinber CcnGnct Price of Work <br /> �pocc•d U:c af Bu11di���� Contact Person (Plan Review) <br /> Dc.criptlon of Work to Ba Donc: _ � � ^ <br /> NOTE: WIHING IN NON•�WELLINGS IS FtE0L1IRED TO FEE <br /> BE IN FiAC6WAY5, MC OR AC CABLE, <br /> � �5��+J <br /> CIl Y OF GVCR[7T LOCAL SALES TA%COOE IS�105 <br /> 1 ham6 coHiN(Anf�hava read and ommino0lhfs aAp!'�entlon and know rbe same fo be hue an0 <br /> c�:nocrAll provf•lona(�llaws and ortlMancesgavarn/ng rhfs rypo Nwork wlif be oompleted <br /> wLulhersyaclGr�l�n�anuYnot Tho ranllnpofaD9rm�ldoadnotA rosumefogivaauthwr to � <br /> vloWfaorcanceifheP�nv(�iansn(ar.yathnr�l toor Iocallawre9WeifngzonsVuc�lanorMe <br /> podor an000/coqttaicLon. fne�(nmauthor�zetl6ythoawnalo/thaFroporfyropedormlho <br /> i � ��i which appl7onllon�ls m�tic and I camply W!N Ihe Stoto Canhadas Lew f0.27RCW and <br /> WAC. <br /> � � J,�— Z.-��—�{ <br /> � ' ` �5 <br /> � , � <br /> ,�,2, <br /> �__._._. <br /> , <br />