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05/30/2013 14:26 2062B47� <br />ASG <br />PAGE O1/O1 <br />ELECTi�iCAL PERM�T APPLIGATIO(V <br />ClTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, LVA 98201 G'-� '"C3 <br />425•257-8810 - FAX42`�-25i-8857-www.everethva.org �' /3bs-�7C7 <br />APP�ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />"l�J� N �r04CkJl� — <br />--!��-1�-f-r���-r� <br />PROJECT ADDR6S5 <br />�vcc <br />Owner <br />T2nant <br />�ur� YU <br />.�.Aaii Address <br />Mail AtldfC55 <br />Electncal Contractor r.�aii Aetlress <br />Gty <br />Ciry <br />E S iri, SE. t 00 <br />Ciry <br />�2oN55GE�1'�C b <br />State L,cense Number - <br />Proposed Use of 8uiltling <br />�escripaon ol Worv, to Br� Done� <br />�% <br />� <br />NOTE• WIRING IN NON-pWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, h1C OR AC CABLE. <br />�.�A �: <br />�suterZip <br />Sta[e2ip <br />Slate2ip <br />� I'78 I <br />Crntrad Price Of Work <br />425 <br />� 3+7- oi 3� <br />Phcno <br />?hone <br />Zec� <br />� '�.Y4^3553 <br />Pnnnc <br />�ontaetPerson (Plan Revicv,) <br />CITY 0� EV[RE7T LOCAL SqLES TqX CODE IS 3105 <br />I here6y certity thaf I ha�r. read and eaamined thrs app/iwticn and know tho semo to Ue true snA <br />cerrecf. All provisions o/fa�vs and ordinances qovemmg this rype nl�vprk wiq be ccrpleleA <br />whet/re� speplred herein cr nct 7'he Qranting N a �;ermri Cees raf Nesume to plve authonfy t� <br />violote cr ����el tbo provr�lons ef �ny otbcr stefe orleca! qty regpl,3tir,g CenslruCtion or (he <br />oeAorn;ance olconstn,chon. rhat I an� autherized by lhe n, •,ver c! Nris prr,perty to perform the <br />��crJc ,'n � wh��i� apph,cafien is matle and I cem 1• with the Sfafe G�nlr,��;�, ; Law 19.2' RGW and <br />296.�tNAC. ^ Pl <br />('Av�. ARcI-�scti: � AQCH�cuS:��K,rr. aoM <br />F�DX Zcc• �g4 • 7'71 b <br />E!�' �30�(t� <br />FEE � <br />�j0-DD <br />�1�05- I�'� <br />