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� ( <br /> n C�<<��l�/I(�� -- l, <br /> ' �-� ', .�LECTRICAL PERM1� APR�ICATION <br /> NDu 2 t 2005 CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98T01 <br /> - 42r257-8810 FAX 425257-8857—www.evereflwa.ag <br /> IiY OF [VFRETI " <br /> F �ninre�inalPuhlir �eivires <br /> APPLICATIONS ARE ACCEP7ED FROM!AM TO 4 PM -DEBIT i CREDIT CARDS ARE NOT ACCEPTED <br /> �/��r✓��.�v�yuP_ <br /> PROJECT ADDRESS <br /> .S/ro fc�c��✓�lw�' r° o ao�c s7�G 7 .F��e�` a./,� 9�'�v6 I'y�s�2s'�� oa <br /> OWnef MrlAddrsW CIN St�b/Lp Phon� <br /> .�,�►fr o�A��f�� 160��1�.�� ,���- �• 9��� <br /> Tenant MailAadreet Ciry StHa/Lp PAone <br /> ,�r�R���� .�,.,- ��1oG�:(��Ro�f..��� a./� 98'.�v ��,�r)�rb� <br /> Elect�ical CorH�edo� Meil AdAress Ciry StNaZD P�one <br /> �I�E�I�O� i� �.44� m� <br /> Slate Lbense Number CoMred Prke of WoAc <br /> l'�'�rrr�►'�%�v/ �sr.u/�S �on�ld <br /> Proposed Usa ot Bulldinp CoMact Person (Plan Review) <br /> n <br /> Descriqbn a1 wonc to ee Done: ��✓ L�O��f� �C �IA✓M %. ,� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO � <br /> BE IN RACEWAYS, MC OR AC CABLE. /�� Q� <br /> CIiY OF EVERETT LOCAL SALES TAX CODE IS�106 <br /> 1 hereby certily(haf I heve read and examined fhis applice6on end kmw the same to be true eM <br /> correcf. All provislons o/laws end ordmanaes govemMp fhls rype ol wak will be,complefeC <br /> wAether spedrted herein w rat. The g�antinp o/a pemut does notpe sume ro pve aufhority ro <br /> vblete a cancel Me vislons ol any Wher stafe or locel lew reyWefk�p oonstructbn or fhe <br /> �whfor�k',f�i apa��me�a�1 com��y�S�fet�e Co f Mk ��ew 18.2�7 R�CW�end <br /> 2�8.200 WAC. <br /> /�-r��1r , o�•�i� G/�7D.S � <br /> SipnaNre ° e ' I <br /> �� , r <br /> C.` <br />