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ELECTRICAL FFRMIT ARPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />,125-257-8810 - FAX 425-257-8857 - www evereltwa org <br />APPLICATIONS ARE ACCFPTED FROM B AM TO 4 rM <br />z�o � l /� � � :� �✓ _ <br />PROJECT ADDRESS <br />—Ll' � /G i,J c� <x� ���e� rf � <br />—�-------- -- <br />Ownm fdail Address <br />Tenanl <br />Mall �ddress <br />Cily <br />City <br />Slale4pr <br />Slalv/Zlp <br />Phone <br />�I-f�l!/7,riN(iiP��lS L=..I�LiR\C' ��r�/"\a'IVL�.'�,1'�"� I�WvIU%iW W� G/C�S� �7J��/ %/� <br />�1'— <br />Elec�ni..�l Cunlmclur IA:iil Addirs . (;il�� titrd�•2iP Ph��m, <br />f3-� �- x� r-I-� `�6y� 9 � /�'`�i�' <br />Stato Lici�nsc tJumbor <br />Cuniract f'rlr,o ol Work <br />���. �i�s1� �c�Sl�<'� (°On�aS - -- <br />Propose�lAinc� Coa��cl Parson (Plan Rnviow� <br />Descriptirni ol Wor4 �o 17�i Uun��. ��/ /� Q �GC-l/ � tdl'.�� �"idN�i� ��C� r-� <br />----_—_ — _ _ _. ... .____-_ <br />//L�L'�UL��N� ��NQ C'a".-� ( Q/J�C TV <br />NOTL WIRING IN IJON-DW[LLINGS �S REOUIRED TO <br />[3[ IN RACF_WAYS, 61C OR AC CA�I[. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 heroby e�riilp fhnf I hrn �� iend nnAexomirtod fh;s npphcnfion enA knen� Oie seme lo bo fn�o iind <br />com�r( All Provisions ulleus �nd unLnnncos �ervnung fhis fyp� al �ivrk n�ill be compfa(ed <br />whe(h�,r spr,�:ili�d herein o� nnt Tlie prnnting o/ e pernni does nof �iosurr�A fo gi�'e aufhanft� f�� <br />vwlnto vr cHncel fhn vu��isien� ol nny- ofher sfnfe or locnl Ims mc�u�nting const�ucfion or Ihe <br />poilorrntmce ol c„��s�rucfion lhal l ern e�dhonied by fhe o�rner ol lhis propoity fo pe�lomi Ihe <br />irn�6 lar n�hich ;ipphrriln.�n ls niadu and 1 romply u�ith tlie Sfafe Ccnl�ecfors LHw 123 27 RGIM1' xnd <br />7��G 700 11'AC- % <br />� / � <br />; �) /�).�� l; ��� � y z� <br />- �� <br />, . - --- - - -- --- ------- <br />� , , ,. . . �-� �,:, <br />, <br />FEE <br />�" � '� : 'I 14r (- <br />