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- --- _- ------- <br /> , --- - - <br /> ELECTRICAL P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � _ 17 � <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org � �gO�_i5� <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 1 PM <br /> (�6�u A„r�i ini s o r�,: �,i•r dA�o T v•;ai. it, b.JA <br /> PROJECT ADDRESS <br /> 1 4�N . � �" � <br /> '' f�i ic:i.. i � .�ti�,i �t,;loc_ °:�.,i1,cx �:1:, 71� V�') Sv�T4 �[� 5+. ��1E h,A P,l �''.�' <br /> Owne� MedAAtlrecs CN�� Sta1W71p ` Phono <br /> Tenant ManAddrew CXy 6t�te2lp Phorro <br /> 3�cF1`� �). F�IR�- 1')�...�") Y,4�H A�4 �t {\Q.�INCjJJ W41 �1Q�27.� �h�;� ��1`i I�iN <br /> I f:leqncet Conlractor Mau Maresa City Stero2p PMna <br /> ��u <br /> � {�l�li��F�•�i 511-�( <br /> 55�.� <br /> � State Liaenae Number Contract Pnce o1 Woik <br /> M•..t c r.�., f r�; =�S-"rP 6'�Rc's,Mn <br /> Proposed Use ol Nwld�ng Contad Pe/son (Plen Review) <br /> � <br /> i <br /> � Uescription ol Work to Br pone 1��_i Ai-�- f-�RF� A�-l�Z�� <br /> i <br /> I NOTE: WIRING IN NON-DWELIINGS IS REOUIRED TO FEE <br /> BE IN RACEVJAYS, MC OR AC CABLE � — <br /> I <br /> � CITY OF EVERETT LOCAL SAlES TA7(CODE IS 1106 <br /> I �hemby�ro�Uly Inaf�ho�e raod nnd orxmrrred fhis appl,cafan a�xllmow the snme fo bo frue end <br /> cnrroc( A�l�Nonsmns a'lows arnf ort/mancos 5rowmrnq fhis fype o/wpk w�ll be oomplefed <br /> ��-frethar sl�r�Arwl nerv� nr nol The pianlmg o{n permR Joes nofpresume fo gns eufbority fo I <br /> anlnfa oi cnncnllho pn �isnms nl�ny o�hm s�ate w bcal lew iepulefvp aonstnidan or Ibe <br /> I lrrrfoin:3nc»ol constni Iron Thef I mm�vlhonrad Jy fAe ownnr o/fhispope RY fo peAdm the <br /> ��oiti loi wluch apphc.d �rr is meAn nna I�romPty w�t i fhe Stafa Confradas Ldw 18 27 RCW enA <br /> � 796.'OO WAC. <br /> j � �� .. . . . _ �"�� .� � �� � C.' L, �C�l� <br /> � Signatufe ------- — —Dale .`� <br /> �`�U <br />