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Nev. 23. 2011 1 : 39PM liBht Doctor 40. 0752 P• 1 <br /> � � _... <br /> �- �� � . <br /> ' - � ELECTRICAL PERMIT APPLICATION�"`� ( <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE7, EVERETT,WA 89201 �1��l II <br /> 425-257-8810 - FAX425•257•88B7—www.everettwe.ore �'I'I —'gZ <br /> APPI.ICATI0N3 ARE ACCEPTED FROM 6 AM TO A PM <br /> Cc�, p v � , ' �l'�� � � <br /> '�-I1 W Cas�n v�.o �oct d _ � � � <br /> PROJECT ADDR�99 � . <br /> l��('i �\ OSc1f�2�J1��� <br /> OvmOf Mail Addrcu Clty ete�n2iD Phons <br /> AQle wr . �,rv, Lruo�.o �, "1,� �.> cc�4s�v,n_e-[( zOLo . ua i .t�l��z. � <br /> Tenenl MellAddroea Ciry SletelZip Phoos <br /> 1 G_� N��,or�cv L�c. Z�a�u.o ���` �►ak. mc�r�c,xa.'�v r��_���•s�� <br /> EIeC1�iwlConlraclof MeilAddmee City SMINTJp �Yj�7t� Pnone <br /> - . 1 � ,�� q��� �o����P°o�' � <br /> S' lelq Llce e Numbor <br /> Onnw��u �I — <br /> ropo Uce of 0ulldinp Conled Psrion (Plen Rev ew) <br /> Deecitption of Work to Be Done: �� '�'Q+�'l0'C1� �r � ��'1.V1F1 <br /> NOTE� WIRING IN NON•DINELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAY6,MC OR AC CA�LE. <br /> CITY OP EVERETT LOCAL SALES TAX CODE 18 7108 <br /> 1 hereDy oerflry thet/heve read and aremined fhls ap�!lcef� n and know fhe sama fo bp fru4 end <br /> correct. Afl p v!61 ni llewa end adinanFes9y vem nq thP type o/wak wlll De,comn eted � <br /> whBthsrapeci�letl�iere�n pr not. The pronGnp 6(e pemuf�loes notPn�sume tq�rve alrfh�Aty(o <br /> v�ol te a can 1 fhepruvldlona ol enyWAe�9fe�o a 10ae1 ew repuafin const cllon or e •• � <br /> per�o an e�oonairucho . Thatlamaufhor7ed6yfheownerolfAl�properryMq�e�fDrrti he / <br /> 28Q��Ich eppllcal/on�mada ontl I cornply wiln thr S(eM Conhgc(ors Law 18 RC�end '/// � <br /> Q <br /> . <br /> ( <br /> noluro eb <br />