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iziioizoia Men y:d8 Pnx <br />i'L/10/2011 09:�0 FAE 42b ?67 <br />�ryERBPf PBR�IT S6RVICES <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 88Z01 <br />425-257-8670 - FAX 425-257-8857 - www.everettwa.org <br />3� 3 D {�l c. � A�� ,. Ey���T �./ I� �b'yo� <br />PROJECT ADDRE89 <br />�M'�Nf <br />Mall Addfeu <br />Gb <br />�ooi/o01 <br />I�j001/00J <br />� Z -�o —� y <br />����,�_�3� <br />841e2p Phone <br />1!�/rr�0 R-f°'F/L(�,�z2A>iod 333o f{IGC �N,� C"Yv�Z��A5�20i `��� �6� <br />TCnenl MeIllWtlteOs City } 3lalelZJp P�orn <br />rEYyuxo��c�s, �,et• 3. ��.�- s.o''�Ql� S� �/G � f3or�/cz� �,t� �,PD <br />M�GAddn�� Gty StahYlip Phom <br />S•rC�RG-r�99� g� <br />8tete Llooneo NumOor (requlrvd) <br />Proposoa uao a u lelne <br />Squete Foa�epe (If re�IdeMal new coneVucHon, rOmOdo1 G Bd0111onj <br />!P cAoc.es <br />NumMr of device� (Iflow voltopo) <br />b3��3�� <br />Clty of EvefMt 9u�lrow llunee Number (requtreC) <br />�`3�ob <br />CorArnd P�fco of Work <br />�l�rruy „��Srkti��-rE-T�r .,� <br />�.c�puonorw�ncfoe•rk,�: � �oc.7'Yk�4 -rcZECo�w (�e/BL� ��ysr�}cc�.r�otJ <br />qTY OF EVERETT IOCAL 9ALE9 TAX CODE IS 710E <br />I hereby cerh'/y thef / heve reed end exemfrred thGf eppllcetlon end lutow Ihe aeme to be due end <br />cwncY. All provldane W lews and otdlnoncaa povoming N!a rype ol work wlqGe complerod <br />wAeMerspacMatl hore/n or not. fio gronNnp p! 9 pemiif dooa nof presuma (o pAro a�thoNty fo <br />v!olefo or coaopt Mo provirdona o) ony othur aPoto or IocN lew rnpulatlng rondivctlon or tha <br />parMtmeneo o/ cone(nw:iw�, fi�nt I em euUwr!!ud by the owner o1 tAia propu�ty to peAbrm Mo <br />work tbr wtrlch nppNaetivn fs mede onJ! oompfy with the Sfets Lbntrecfon Lew 18.� 7 RCW and <br />zBB.200 WAC. <br />aewa�e aor.oi � <br />FEE <br />� 50� <br />PERM1Tfl <br />E�� �i �> c�3 � <br />