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OSi0ii2012 18:03 FAx 125J5J89J4 , E��er6reen Securit9 �002 <br /> ` ( <br /> ELC CY OR�E ERETEEnRM T SERV CIEsAT ON /z <br /> 3200 CEDAR STRcET, EVERETT,WA 98201 E � �s-oyb <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLJCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �,�,, S � D <br /> PROJECtADDRE35 <br /> �,�,n rs v �0_s uei�pr•a+v�' �,�175 — 112�1 � � ��(�O �'�?,1/U9-� (�' a <br /> O er � �na��nadrees Cly suro2ip �,���a��,Ph��� <br /> (�r�� ttQ�•.�o �q�� ��n� �- G--u�eke�tk �JP� q�t,ot -�g�5 � <br /> 7enant MailAddresc City State2p .F,'hone <br /> 5 �1�1 �vext� �JA- �j8'L.a���$)'3 <br /> Eledrical nfi'actor � ' Addreas SInaIZb Ft�one <br /> �V cf2f�S�l �ZL."�.. 2 �8�, � <br /> State License Number Contred Price of Work <br /> l�M. XGL C� �+'�•l'l M,l�r�rci.`y't'— <br /> Proposed use o(Bullding Contad Person (Plan Review) V <br /> . I <br /> Description of Work l0 80 Done: � h�'iTi�1 ��� �� ` �� Vv1 �"d�' <br /> �,�.ra � �i-e. �bo �.v�Q� "' SeCu.rL�1,,, Cl�.«-✓��S . <br /> �� <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. ��f <br /> � - <br /> CITY OF EVERETT LOCAL SALES TAX COD[IS 3105 ,1 � <br /> 1 hertby certrly that 1 hnve reed and exsmined fhis application antl know fhe same to bo Vue and ��Z�� -d"T <br /> CorrecL All prov/alars oflaws and orcfinances OovernMg fhis type o1�wrkWill be completed <br /> whefher sped/retl here7n o�rrof. The grantinp of e permrt does notp resume fo giYe euthon'ty to <br /> vro/afe or cancel lhe rovisions ol any otherstafe orloCal/aw�egulefing Conslrucfion orfhe <br /> �ro��r w�of pn�otn rs ma�s�1 oomply�vitAihe 8tate Contrha�dorros�w 18.27�RCW and <br /> 296.2 AC. <br /> � <br /> 6 �— <br /> Sgnature Dat <br />