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Nov-09-09 08: 30A P . O1 <br /> ELECTRICAL PE:RMIT APPLICATION <br /> CITY OF EVERETT PERMIT S�RVICES <br /> 3200 CEDAR STREEl, EVEREIT, WA 98701 ��_g_Q�' <br /> 425-257-8810 - FAX 425-257-8g57 –www.everettwa.ory � <br /> ��p=�/l—D�� <br /> APPLICATIONS qRE ACCEPTED FROM 8 AM TO 4 PM <br /> � y�Q (hi�/� iv/1 ��1f4 <br /> PROJECT ADDRESS r '�� <br /> Y <br /> 4'�'U <br /> �-�.�.t,�i-,v� ���.r�ev �Y��[1d�a•/J �f..��,c �'v ��'h^�i Ss� <br /> Owner h1ai1 qqdress City Sute/Zip Phone <br /> Ten�nl .. ... I.fail Hddress � —' • " '� <br /> CitY Slale/Zip Phune <br /> !l�L.ana���h S'�S 3 � , .�U_��/,� .r U �cL_ '��..1�1 <br /> Eleclrir,��L�mtr��tur At�il Aditress Cily Slalr2ip plwne <br /> Fc.k�,�tis,r� yz� <br /> SIa10 Lir.rn�Se Numbe� CunlraCl prir.o p(4Vork <br /> .1'F�- <br /> Proposp�i Use ot [��iitdiny Contacl Person (Plan Reviow) � <br /> Oesu'iulion ol Work tu�e Unn�: �tTj(.��/� �j7.� ,r"j��'/��eve� ��e� ' /�� <br /> i ��=� �-y --�'c'�L��— <br /> , A-V f�� i7 0�c.l •— <br /> NOTE: VVIRING IN NON-p4V�LLINGS IS REQUIRED TO F[E <br /> BE IN RACEWAI'S, �iC OR AC CABLE. ��,��o <br /> CITY OE EV[RETT LOCAI SALES TAX CODE IS 3105 — • <br /> 1 hereby corlily fh.i(I I+avo��ead nnd ExamiqeU this ppplrcution and know fho same!u be fruo and <br /> cvrrecL Afl provisionS ull,�n�5 Hnd orclindncoS pwerninp this fypP o/�a'O�k v.ill bo tomplefed <br /> �v7m7h�r'specihed hpr�3in ur not. Thc prar�bn�ol a permrt duns nnfN(QSI/I1�C IO{JIL'Q y�IIl01)O��O <br /> �'iulet.:or�ancol Uie�mvlsions e/anp e(h���stetp pr local latr regu ofury consfruefion oi(hn <br /> perlorrnance u/consfruchon. That f am,vuthonzod by�he owner c/flus proporty fo p�Aom�the <br /> wa�k(ar�ti�hlch,�pJ�licefion iS maAo 21iJ 1 cumply with(!re SWfe Cuntr.7ctar'.v Lmv 1 B.27 RCIV pnd <br /> 296 2UU 4VAC. <br /> / ,�� �/ `� j� <br /> (JnGlu`C� /�1�i� --.�. —' D'al • � '_ / � <br /> �� � � .`� l.' <br />