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Oct 23 UEI 09: 54a _ p. 2 <br /> ; � <br /> � i � <br /> ELECT ':CAL PERMlT' AP LICATION <br /> CITY O EVERETT PERIVIIT S,E ICES <br /> � 3200 EDAR STREET, EVERE7T, WA 98 01 � b _a 3-o� <br /> 425=257-8 Q - FAX 475-257-8857—www,eve ttwa.org C p� /D�� <br /> APPLIC IONS ARE ACCEP7ED FROM 8� T 4 PM <br /> i ; <br /> 3z �a �, � I i SQg <br /> PROJECTADDR�SS ; 2�I6 <br /> i <br /> � � ' �'S/ /a /� <br /> �1 C � a :I P. 'fj o S' o � k <br /> Owner MaliAddre I C�ry i Stste2lp Phone <br /> I i ' <br /> TpnBnt MillAddfe ; City i SWte/Llp �as Phone <br /> ,�Y��ItIfJ /1-- Y-1' ' ; � .�s'9—�/�! <br /> EleCtflcal ContrecWr H1i II Addro' ��I � Clry � SlataZp Pnor.e <br /> i�G� i� ' ; �` <br /> ', <br /> � Stnto Licensa Number - ��i ' ' tract PriCe of Work � <br /> � � <br /> Proposed Use of Bulldlnp � � � C tact Porson (Plan Rovlow) <br /> I , <br /> I � ; <br /> '1 i <br /> �oncrlpHon of Work Lo Be Oone; � �f2 /c,!� � � � �G <br /> I � <br /> � i� '� <br /> i <br /> i I <br /> NOTE: WIRING IN NON-DW�LUNGS I �EQUIRED TO � <br /> 6[ IN RqCEWAYS, MC OR AC BI,E, � Fe� <br /> i.j _ �L-OG <br /> � \/ <br /> CITY OF EVERETT LOCAL SALES T�CO IS 3105 <br /> !haroby cprifly thet I hew reod and e�eminod !s applkutlon and know the same ro b�(�ue. nd' <br /> conecf. A/l provls/ons o(laws and ordlpancos veminp thls type ot work wlil bo compr9loC <br /> nmother speCffled horoln or noL The gronUnp a;pOml�t d0os not resume to glva outhonry ' <br /> vlolefeorcAnce/Oio provlsfonsofenyofhersf :orlocollawreguPfrnpcensfn�cllonorlha <br /> podormonce o/cons truct/on, That f em putho by tho owner o/th/s property to podonri t <br /> work for whlch appllcaUon Is matle and!comp wlth(ho State Centrecrors 4ow 98.27 RCW q <br /> 296.200 WAC. � � <br /> �� I i ' <br /> pnaturo �� � � � <br /> ? <br /> � 0 t � - � �i <br /> i \ � � � <br /> i� � �� <br /> i <br /> i <br /> � • . <br /> � � <br /> I <br />