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FEB-22-2012 11:39A FROM:DRHL ELECTRIC-EVEPET 425-252-2999 T0:4252578857 P.1�1 <br /> ELECTRICAL PERMIT APPLICATIGlV <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �2Z//Z <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> [�zpz.-I a5 <br /> APPLICATION8 ARE ACCEPTED FROM B AM TO 4 P'M <br /> 3`�`l aRnndi✓�, <br /> PROJECTliDDRESS <br /> rj-AT�WAY 1135nuA7�� �801 QRa�O�✓/17 Cv�.P-.r�rT /r��` 9Q,7v1 <br /> pwnef Mall Addrea� Gfy Slele2p Phone <br /> ����� �,� � <br /> Tenant Mal'Addreee Gty State2ip Phone <br /> ��N�, �L�GTKIG 3�LD1 II��oN.6All At� �vbtErf l�.k Z�.2e1 y.Zt•af�-17A� <br /> Elecfrical ConVacto� Mull/lddrese Clly Slete/Zlp Phone <br /> O►�t+�.Ec � q� �n � ,2� v�p.. <br /> Stata llconse Number ConVaci Pdce of Woric <br /> OfFrcf' .S�A�� � <br /> Proposed Use of Bu!!5ing Contect Peraon (Plan Revlew) <br /> �escrlppon of'JJork to 0o Dono: �dA� y �X�fRtD/�' (.IdM��UAiR�S OI[ �AS i <br /> S� or n-° nµ,�a�N� <br /> NOTt: EIRN RACEWAYS MC GR AC CAB EUIRED TO FEE � � � �O <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> l herab certlfy ihef I have read and examined thfs eppllcatlon and know the seme fo be true end <br /> correc�All provlslons o(laws end ordlnences goveminp fhls rypo ol work wlll be complered � �2�L� �� <br /> whofhor spoclllod horoln or not. Tho pmnfing ol a porm7f doos nof prosumo to plvo aufhorl(y to <br /> vlolele or cencel the provlslons o/eny ofher stafe or local lew repulefing conatrucllon or fhe <br /> performonco o/conslruc0on. Thef I 8m aufhorizod by tho owner o)fhls properiy to perfomi tho <br /> work lor wYlch appllcatlon!s mede end 1 comply wlfh fhe Stafe Con[recfors Lew 18.27 RCW end <br /> 28fi.200 WA <br /> , -�.. � �a.�- ��2 <br /> � <br /> , Ipnature ela � <br />