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From 10 ' '2013 09'29 x262 P.001100� li <br /> ___-------TION ---- <br /> ELECTRICAL PERMIT APPLICA <br /> ! CITY OF EVERETT PERMIT SERVICES <br /> ' 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-881 D - FAX 425-257-8857 — www everettwa org <br /> ���:� �.1 L��c��z,- 5�Ir�e i- �=vc ✓c. �{ �l'`�2C�I <br /> - -- <br /> PROJECT ADDRESS <br /> Owner Ma��nCAre,s Gry S�ate2�p Pnono <br /> TOnanl 41x��,1 Adnross Clry StalNZip Phnnn <br /> 4�'1'J <br /> Gmeccc� IN� �1�3� I�oas,��l� Ll��/ N� Se�e-14ie �ur� ��8'ii`� 52.� a-8n8 <br /> Eloctncai Contraetor Mail Adtlress Ciry SLile2lp Phone <br /> c�hi eci -� 1o .LN z <br /> Slalo Liconse Number Conlract Pnco ol Wurk <br /> R.��, n�s��t�re. �b - 755-�'� � <br /> F'raposud Use o1 Build�ng Contacl Person (F�len-Re�+evr� <br /> +— l�-nU �uc�i,5 �o �c(1�i lOI-� -SLf, ' .J$G$ <br /> �J <br /> Sq�aro Foolago(If�psiAnnlial new consUuction,romodcl or addilion) <br /> Numbor oi de�cos(II low voltaga) <br /> Doscript�on of Work to Bo Dono: C'I C Q.ii �t �� f'K_i S 1�ilcj c. �� �=-�vi G�t � L� F v �c-<' � � <br /> �" <br /> (�� e(e.v��.e S _� 5�,t�� � c ��e 5 CL+�l.� V'f�c r �� -t-n c �c' � • <br /> �le��sc cn.il �zv' ��R,� �-,�1�,.��-1-, - --- <br /> FFE <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 1105 y�� OO <br /> ./ � <br /> I hereby cortily fhaf 1 have mud:fnd examinad fhis applicnfion and Fnow fhe seme!o he fnio and . <br /> correcf. All prov�sions of lews and ordirrancos,qovemmg(his typo ol work will be complefe0 --- ------- <br /> whefher specdied nerein or nof. The grnnhng ol.a permd doos nof presume M give eufhonty fn PERMITk <br /> violefe orcancol fhe provisrons o!any ofher slnle or locol Inw re,qulahng consfruc6on or Iho q <br /> poAomtnnco o(consWchon Thaf 1 em eulfronaod by the ownor o/this proporty lo poAnm�Iho E I 3 I O O8 1 <br /> worl� /o�which epplicefion is made ena l comply wdh fho Sfefe Confrnclon Law 1 B 2i RCW enA <br /> 296.?00 WAC. n <br /> � � � �� � � t3 <br /> ignAlU 0 ORIn / <br /> R!�r5F0 S:v'+! ' <br />