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May I1 10 12: 11p Thomas 42/5-672-8716 p. 2 <br /> i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �/1—/D <br /> 3200 CED/1R STREET, EVERETT, WA 9820'I „c <br /> 425-257-8E310 - FAX 425-257-8857 -wwv✓.everetlwa.org E��S�-d�l <br /> APPLICATIONS ARE ACC[PTED FROM B AM TO 4 PM <br /> �231 �1rc�r('i t�vP . �v�er-e1��.u'� <br /> PROJECT ADDRESS <br /> \lYl n ���101f1,5 Z�3���rA '�_t-V'C1��{'__W�_.�."1i�L�—_1��F..-2Z.��'�1 <br /> (hvncr Mall AdJmss Clq• S�aU•n�y Phone <br /> N�_� -- ---_ _-----___--------_- .___ - ---- <br /> Tunanl MillAtldruss Cily tilnlri7i� Phonc <br /> �_lD t\�CSc��C. �z � �+�tiv_�.ty..5u�re_F4Dl . .Everett� 1vf�.��E2�c�...`'?5y�t���- , <br /> �____ _lZ.. . <br /> EIoCIfiCaICONI�GIor . MaIIAdJross c:ny s�nu•2��� Phonc i <br /> �i �21 �It�� L L� -- --�-1�_>.`�__CX�_ <br /> Slab Uc�nso Number Ca�d�or.l Piir.r:ul Wurl: <br /> Proposed U o ol�� J Cuntncl Per::on (Plnn Re��iuw) <br /> Doscripllon ol Work lo Bo Uunu:�y�,U1�`�,.._��� . 1. ... I.�.v�. l,'��l,-�• ,��--- _1�11.'�� ----- <br /> 1 � <br /> �i1.._—��1�Q._t`����� •—�:..�z__L��cr..�i��------ --------- <br /> NOTE: WIRING IN NON-DW[U.INGS IS R[OUIRFD TO II:F <br /> BE IN RACEWl�YS, MC OR AC CA13L[. <br /> _ _--� <br /> CITY OF EVERETT LOCAL SAIES TAX CODE IS 7105 �y� <br /> I hxroby coAilylhnf 1 havo rnud xrrd oxumNiod tfds npplfca(inn nnd knuw Ihn s�mo lo bu liva und � � (�(.,!]- [,C J <br /> coriecL NI proWslons o/lows ond ordinm�cos guvomin�tliis typn o(N•oi7e will be co�np�n�Arl <br /> whethor speclqeAhoroln or noL TNo g�onflnB ol a ponmf tloos no( uasumo to,qlva uufhn�iq�fo <br /> vfolefe a cence!O:e �roNslons o/nrry otlior sfuto orlocn!low rogu�rting consfrucfian or 17ic <br /> perfonrranco M cansEruc!lon. Thaf 1 om etrthoilzod Ly Iho ownor ol tbis propnAy fo pprfomi 11 ir. <br /> work lor wbich applicallon is medo enJ I comply wlUi flro Smfc Confmcfois Law 1l127 RCW nnd <br /> 29fi, 00 WAC. <br /> - -- -- -- __ � + � �_ID __.___- <br /> - ;�,,,.� ��:,,J-- _ <br />