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Jun 03 04 10 22a Biandon PhJlips <br />425397-8604 p 2 <br />EL�CTRIC�IL PERMIT APPLICAT'4N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREcT, EVERETT, WA 98201 <br />425-257-8810 - `AX 425-257-8857 — www.everettwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />'.i?-`I IC�3��� P1 S% <br />PROJECT ADURESS <br />� 10e. i`�lf Ile-ti _V�7_19_'i�c' � sz EJt'yC�F� Wn �i..g�,?a�, _ <br />Uwnc� 1.1eI1 Addicss CIIY Stnle'I�p t�hona <br />5CtM1, ------ <br />Tt:�iant Ata�llullrn:.� <br />Cny <br />Stalo!Zi, <br />Phone <br />�]j.�� n5 E vr,�yjt�_j�(,(,_jjZc� lU�✓� n✓r'�¢ �.IrStrvcjn, I�vft '[C�5 _E•_ _'�1S 773. `✓a� I <br />Flectnad Contracto� Moa Ae�fmss C�ty Stale:7ip p��one <br />Pli I �� F_i-�17�.��� <br />Slate 1 n:ense NumMr <br />Rc'S�af,•��rl1a. � <br />Proposed Use o� Bwtr ; <br />—�1a.�2 i O . 00 <br />Centrect Price of Work <br />__$1'.�n�'9-1 l�hi7 fi'rT� <br />Con1aC Paiscn (Plan Raview) <br />fh�scx�p�Wr. of wak to Ae f�rne� �[L'� - N1 Z1� hTvL� S�y�lICL – GI'v [M i1 5� <br />__�l_�_�_ 5 __ �' �= JV`�11-7;{'�S ':�f�1' .��1/S _ ,_ <br />NOIL WIHINIi IN NON-OWELLINGS IA RFUUIRED TO <br />[lC iN RACEWAVS, A1G OR AC CA[7LC <br />CITY OF EVERETT LOCAL SALES lAX CODE IS 3705 <br />! he�roGY c^rldy lh:V 1 hevc iCOd 07d era�rrirleA (,4rs ep�,'r��,i!�nn ��nd knun• Ihy <br />cnnevx 41l �ra-�slnns nf Ix�vs tvid oM�nenu•s ynvemerq fh�s tq:`e r:l wrnk vi <br />whefhM spNu4r�: �,erem o• not ihe gfanlin�! rN n(4Mn�rt dre• nul p•••surnB <br />vrolu2� [v �'�irr�el ll�v prov�SrnnS nl �»y nlbo.5lnP! nr f��rnl �n�v �rqur.lOrg [o�� <br />pe�A�uinnnrn n/ rvxc:r.�n7�r,n 7hnt I am aufhmvvAAy fhe nvnu,r rd tlus t�•cp <br />w•uk Inr wlni h nn{:r.c.iAO�� r5 mdde em:! I i:mnPly �ri!h II�.• ShiM Cen!.:u�trns 1 <br />Ib07fiL' 1"�!I(: <br />-�Jt�c�1�_``--'��_ ___— �O . � . G �_ _ <br />Sigwtuic f�a•r <br />f lo be fnie and <br />Comp/ctred <br />/n BUthOnly I� <br />70n M fhP <br />o p:ifr;qr! fhr. <br />fl ? 7 qC'N' a.xl <br />� �.��— -- - -- <br />� <br />�G`1� - L,`� , <br />