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MRR-09-2099 22:45 Froai: To:2578857 Paee:1�1 <br /> ( {. <br /> �. <br /> f '.h . <br /> EL'ECTRIC�L PERMIT APPLICATION <br /> ��' CITY OF EVERETT PERMIT SERVlCES <br /> . 3?.00 CEDAR S7REET, EVERETT, WA 98201 3'JO��CI <br /> 425-257-F�810 - FAX 425-257-8857—w�wv,everettwa.org C d So��7 <br /> . APPI.ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> .'l, - <br /> z rd' . <br /> �oo - � � — Dr � � �� � <br /> PROJECTdDDRESS �� <br /> � � ,�,_ � <br /> � ���Gi�c �n �_ � �U�� Z ,.� � �n ����., <br /> owner� %��,�'Q,..� �,�`q�drP� ciry stetuZlv ��s� Ptwne <br /> \_.jJ-YtiIUW <br /> �'� � o., �aoo���.�. �b I F�e� i�)�- �BZo 3 �ii-yS�S <br /> Tgnant Meil Address Clly State2lp µ�rvf,nre <br /> I �^ <br /> n I � � a�.l � Ir r/lia.Sf � r ft wk cl�2o / - <br /> Electrlcal Cor�rector Mail Addlee9 Ci�y �Sl0l0/Zlp PhOna <br /> SvN 1Ti��9�6 D '7 7�v5 <br /> Staro Licanse Number Contrect Price ol WorR � <br /> D��- I��VJ ��d-�-� <br /> Proposed Use ot Bui ing Contad Person (Pten Review) <br /> Desctiption of Work to Be Done� �� UQ '��a, � ,���' �'�,.� <br /> 1 �� � <br /> '�- <br /> 2a/ �C�.s — ' 'r <br /> NOTE: WIRIrJG IN NON-DINELLINGS IS REQUIRED 70 FEE <br /> BE IN RACEWAYS, MC OR AC CABLE, <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 9706 <br /> I nereby cortiy�haf I have read and examined fhis applicaflon and know tlro sar:_•� � �- ��'rtte end ;��%�'J (J� -���. <br /> cnmecf. All provisions o/laws end ordinancea goveming this fypo o/work wil!t � �.pletod <br /> whether spodlied heroln or nof. 7he grantlnq ol a pertnd does notp resume to yryr euthonty fo <br /> v�olate or cencei rne p�ovis�ons o/any o7hor stete oNoaellew regulafinqPcOnstruc(ion a tha <br /> �o�k loi��h/ch nppfis a�fiCon s m:ido and I COmply w th fha Slsfo Contre�c(oisPLaw l8.�RCW�end <br /> 298.20 AC. <br /> I <br /> u e Date <br /> a.� �9 7/ ' �����-- <br />