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OS/22/2015 13:55 253-631-�'5d PRO�IDErJT ELECTRIC F.;� �:J 02 <br /> �I <br /> f' ELECTRICAL PERMIT APPLICATION - <br /> I CI'i"Y OF EVERET7 PERMIT �ERVICES <br /> � 3200 CEDAR STREET, [VEREl7',WA y$Z01 <br /> I 425-257-8810 - FAX 425-257-8857—wwv+-everettwa.org <br /> APPLICAT�ONS ARE ACCEPTED FROM 8 AM 70 4 PM __ _J <br /> I <br /> --- � <br /> �+�- � <br /> ��I Yl � � 1� n,��VI � �L_� � . <br /> pROJECT ADDRESS `���'�.�-I���� <br /> � ��� X� p� ✓�`�2��� �-�vr 1� 1.rLG� �- <br /> �����v�'�-��F ——� c�hone <br /> �ef Mail Aedress <br /> GrcY S�IE.Zip I <br /> Statel7Jp Phone I <br /> Tenanl <br /> - Mail Atldress �� <br /> �r.i�nv�._���.F�'xR�([���_���_�L��1-�'-�viNb'it2N�_µ1�181�2�3_u�n1�� <br /> r ��, S1ale2ip <br /> EIccM:alGonirador MallAddress <br /> �f}��f���4�_+�_(�i__���,�_��y�— Contrad Price ot Work <br /> State L— ice�se Number ��/�� �������(�� <br /> � i. d��ll.tl�►J1 <br /> Co ct Pe`son (Plan Review) <br /> Prnposr.tl Use ol Duiltling <br /> 7 1"1/� ,Gh1iL� ��-G� �-��'D r w 1 js — <br /> Desc�pUon of WOAc to Be Done�. �[ <br /> _�_—_ <br /> ------ <br /> I I <br /> I <br /> FE[ I <br /> NOTE 8 RN�C�WAYS MCLOR AC CAI3�UIRED TO ,�q �� ` _ ll C� � i <br /> CITY OF EVERETT LOCAL SAL85 TAX COOE IS 3105 - � I <br /> I ncreby eertdY that 1 havo read and meaniined thrs applrca(ion and know t7o seme to Le Vue antl . ._ I <br /> ..crecL ,+ll pro�srons o/7aws and ordinar'rs govemmq fhis type opf woric will bo,completed �" � �jC��7 � � <br /> �dolaeAo�eance�he pr�vl slons of any other sWtb o loce!I a�v reg latin,4 pco�s5vction or�tte fo <br /> perfomiance o/co7�s�alion�/s�made antl�l c�omal2evithYmP S ateeCqnt�c(�sPCaw�78P27 RCVland I <br /> �verk far which 2p� Y <br /> 29fl200 V✓AC. <br /> ���•/� ��j / •( r7 __ I <br /> I��-' -' oate <br /> S�gnatwe <br />