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08/31/2009 09:52 4257740659 PAGE 01 <br /> � � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT pERMIT SERVICES n <br /> 3200 CEDAR STREET, EVERETT,WA 98201 �-3 �--O'1 <br /> 425-257-8810 - FAX 425-257-8657-www,everettwa.org �^ QCh g�/,� <br /> L lv �t <br /> APPLICATpN$AkE ACCEPTED FROM 0 AM TO 4 PM <br /> � �3n (�l,iw��iL r�►e <br /> PROJECT AbDRESS <br /> V�n►2 l�N��7�ce �13o dlv�n�as_p� �-ix�U,e,tT��lt3_353 ��X36 <br /> OYvner Mal AdOr.0 T^r Ci�y Staeu,z�p PnorK <br /> Tpnaill M6ilAd�re�6 Clly Skq/Zip Vlafn <br /> 12 �.��iPt� l K214 �t���F r�4.1�'�1,�1 �C�1nn�nl�S WV4 C� `����'�o <br /> Ebclrical Cattredor Mox ndaeu Gry Sumrzp an� <br /> fp <br /> �p�.yp�,C,� D ` � ���.S�X� y� �00� <br /> SWte LlCenee Nwnber ConUsd Price of Wo�ic <br /> Sf=le. <br /> Pfopoaed Use ot Buikfirg Contect Penon (Plan Raview) <br /> Desuiption of Work to Be Done: �h��1W�I �� �Qw1P oL'tJJ�• U`il. .� <br /> � � — IS�W�,D �'��1, r,�((L�1.�_� (,�ko�( �rA o <br /> NOTE: WIF<ING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> C�TY OF EVERETT LOCAL SALES TAX CODE IS��06 [� /{ <br /> f here6y cemly Ihat 1 have road anp examinecl fhis ap,olfcation a�d know Nre seme ro be We and f—�v 6 _ I�� <br /> oorract. All povisbns ol laws and adinances govem�p Ws fype ol wak wlll be oomplated <br /> whafher speafied heren a not The qronHng ol a perm�t does rafpresume fo piw euNarity to <br /> videre or I theprovisions o/any other sta.fe or bcal law rsyu af Hnp!cxnonpaetnkYlon or tAe <br /> w�p1c�or w�applk.teG�on i�s mada end!wmply�th fhe SYe Corr'htradas Lsw 16.�RCW a� <br /> 298.200 W . <br /> tue. <br />