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Jun 15 07 12: 43p „ • 1 <br /> ELECTRICAL PERMIT APPLICr4TION <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 9B201 <br /> 425-257-8810 - FAX 425•257-8857—www,everethva.org <br /> APPUCA710NS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> .25"3/ G.,kTil,.o t-� <br /> PRO.IECT ADDRESS <br /> 13,a.�t3r� �>a.��'w <br /> Owner Man�3���1? Ciy snt�Za �y� _ ahon� <br /> 15 �` <br /> �i}-l�(3I/E. �IL.A.1�2 �,�. ,,�r� _ �s�i Gvfsr�o2lG' e�'(I p'�'Z o1 993� <br /> 7onent M911AddfN� CIN Sbih2lp PhM� <br /> ,�f 2J' <br /> ��t7lEk. Sa f �G� ,��/ �.,,�_�c i/ �i�zq/ �s9' .tl�l <br /> EI�CtncalCpntraetor hUllAddra� Clty Sht�?Jp . Phon� <br /> • / <br /> L��ll SS/YL l/" � Oaa -- <br /> S4b Licsnsa NumDer Convact Price o}Wcrk <br /> 1COA1 M !'r.MG!�iF l.. . <br /> Pmposed U�s M Butldlnp ��'�— Conlecl Psnon (Pl�n R�vfsw) <br /> Dencrlptlon ot Work:�pe Dona: G/ C 1i{ /d <br /> � lI�D � O <br /> NOTE; WIRING IN NON-DWE�LINGS IS REQUIREDTO FEE <br /> 9E IN 12ACEWAYS, MC OR AC CABLE. �� <br /> CITY OF EVERETT LOCA�SALES TAX CODE IS 3105 C�� <br /> 1 Aereby esrtiJy that I htvs roee and exemined fhls eppike8cn end know ths aemo to be rrva and <br /> wheW er a��mid hare n�or not nThe y�nntln�ol e pirm�t doos not�rw�sume��fllv�e euth�tp � <br /> Nolefe or cana/�,s provlslons o(eny ofher steto or lael law repuPitln9 cons Wdlon orths <br /> penormenceofconsirvcnon, ThatlemnufhortredDyiMownerolMls propertyfop� �mMe <br /> wak lor whleh appllcaUon Is mede end f comply wlMr tha SYsts Confrec(ors lew 1 B,Z7�CW ettd <br /> 2A@,y00 WAC. <br /> � <br /> - - /, l( � /K' <br /> Qfyy�Un �i r � <br /> .rti�. T•- . . � ' . <br /> m <br />