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F(?f_�PI :Dick Hawdrd `<t Sons Electr FR`/, tJO. ��2�7765995 Oct. 17 2012 1�8:22AM Pl <br /> �I _ —� <br /> �__, .. ..._ ^-- — I <br /> � <br /> Y �ICAL PERMIT APPLICATION � <br /> FLEC . . <br /> i CItY (iF EVERET7 PERMiT SERVII:ES ', <br /> 320 'CEDAR STREE7, EVERE7T, WA 98201 /U—/� � <br /> � 425-257- �10 - FAX 425-257-8t357 -www.everettwa.org � -�� � <br /> npp�� ATIONS ARE ACCEPTED FROM 0 AM TO 4 PM C)?/(�"'�aS <br /> _ ���� �`' P �. ��.I <br /> PROJECT ADDRE:S <br /> (�'�) � (� -e�t�" �1�'�2-- 1�� P�—W �v���.W. c�_��5� <br /> `_�-=����� ."�•.. Clty Slate2lp I'Imno <br /> OWttni M�ul Adtl es�: <br /> ..�.--�— '. <br /> ��--""� SlatelZip Pt�one <br /> renant 1 ` <br /> MNII Adtl Q96 CIIY L���" 1�� - �C\��C <br /> L� �\-"1\A 1Cl Y-�.LLY�-s- I� �� �'—�`��._��'� �L�Y1V��� .1 .. � C� ���lf�-- <br /> �.�—�---` Gilv SIa�rJZlp Phonu <br /> EleclricuiGontiaclor MaIIAd Sss <br /> " �. �:ll. �L��Q� <br /> ��� ' Contract Price of Work <br /> State License Nwnbor I <br /> I .�----- <br /> Cunlacl Person (Plan Feview) <br /> PrDposed Use of 13uiltlinJ <br /> � � <br /> � h\ 1'� U-(�Gc��� � M� '�i� <br /> Dascnption nf Work lo Be Cono' �� � _ ` '1� �• �—�"—• C� <br /> y \� ��---- <br /> . r � II <br /> , ,.k <br /> NOTE WIIZING IN NON-DWELLING S REC.�UIR60 TO <br /> FEE <br /> BE IN RACEWA\'S, MC OR A ,CABLE. <br /> ICITY OF EVER6tt 40CAL SALI'S TPX ODE IS 3705 ���f�— (��, <br /> 1 h0lGby cedily IAaf I hnvA rpad r�ni�ea'ami dd fhis apr�licalion end know the sanm to be true and <br /> acrroct. All pruv�s�oils qllaws antl nNinun�as puve,dury this typo o(work will be cvnrplotod <br /> whethor spar.ified ho�r.m or.no i he�nnf q7�1 a Ponn�t does no[prasuma tu grve aulhudfy to <br /> v�olafo orcan- I fho piovisio o(�ny �M> state or local la�v reyulaling consfn�ctiun or fho <br /> ne�(pm���p � (cuOfiOUGfion. h.�f I� : 170 od by fhe o�5�noi'of th�s pioporiy fo pvrlomi fha <br /> �vnrk for i h uppllcalio}}ffi rad�an c mp with tliu S(a(a Caifruclois Law 18.27 RCW and <br /> 296.200 ' � C I / , <br /> � , � � �� �- /7�- � Z <br /> Sipn.vure "' Dalr. <br /> i I <br /> I <br /> ii , — . ._— <br /> � . . . "_'_ ..._. <br />