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Jan. 22. 2014 10: 04AM No. l'�1� P. 3/3 <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERE77 PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257•8810 - FAX 425-257-8857—vnvw.everettwa.org � _ 2 7_--(c f <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � � (f�/ --/Z Z <br /> 13 I $ 3�� S-� B}da I � I 41� <br /> PROJECTADORESS <br /> . (�vrnG �s�w1�� �,+�..e as �� ��S �5�8f7 <br /> owner -�! MailACoreas cuy S�aio/ziv vno�o <br /> 7ena01 Mall Addross Ciry StalelZip PhO�o <br /> C.�1 I�ecr}��ir lnc i'+�5 Bizx�d���av C��e��ti� �vA q 20� �+z� �.4;��1 �i���, <br /> Elcd�icel Contracfor NOiI AdOwss Gly Sldfe2ip Phone <br /> - Cf�1}4CAM Nqoi(�q 2 �D '� <br /> Stafe Licenso Numbcr Gontract Pnco of Work <br /> Proposed Use ot Buildin� Contacl Person (Plan Review) <br /> Descnption af Work lo Bo Done� V1�lJ�- s�,���l�� _ <br /> �, <br /> N07F WIRING IN NON-DWELLINGS IS RCQUIRED TO FFE <br /> L3[ IN W{CEWnYS, MC OR AC CASLE. �D � �D <br /> CITY OF EVERETT LUCAL SAI_ES TAX CODE IS J105 <br /> I he�eby certrly Lhar I t:a+o read antl oxamineJ tliis epplicafion and knowlho same to bo Vuo antl � <br /> conecf. All provisions o/IOws anU orclinancos govemmg fhis typo of work wil!6e complo(od �/ I �-�-�� .. 1 r � <br /> whe(hor spociGod horein or noL The gianfing ol a permd doos not prosume fo gfvo aufhaity fo 1 I <br /> viola�r�a cancel fhr.p1iovisions ol any ofhe�slefe oi/ocallaw rvgul3hnrypr.onsfrucGon or fhe ' <br /> �ork(oi wh c7t appl cnfron s made ond I eomp/y wi(1�0 3rote Co f ac(ors La�i 18.27�CW enU <br /> 296.200 WAC. <br /> � �gnr ature�_`�.�L;��— J '�+.�_� I� -- <br /> CU �,�� <br />