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Nov-02- 11 02 : 12P P.O1 <br /> � ( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT, WA 98201 <br /> 425-257-9810 - FAX425-2i7-8&57—www.everettwa.org <br /> APPLICATIONS AR�ACCEPTED FROM 8 AM TO 4 PM ��/���� <br /> 200� -- _.... ... <br /> I --O <br /> �- _CoL�Y_ A.v� _ yz,�' <br /> PROJECTADDRESS <br /> 3�a <br /> �N ,r�c h _ .urI1�0� r� ,�oUt c o�g�- {� �/ �'.zo� °3 � <br /> Ownor M�IIAdCresf CIty Slale2lp Phw�.+ <br /> —_.. . ..... -.. .._ .... .. ...._ _... <br /> Tenant Mafl Addrosu Ciry SI�tNZip � Pirone <br /> ��u�tio � t� . 3��� ,�1�' s�/ � 9's�d, --�P .�i�i <br /> Elodrir,al Cunlractor Meil Addrcss t:ily Sta�e2ip Phone <br /> ��44tiss�y� t-v y.So r ��-- <br /> Steto Litense Numbo� Contract Prlr,n ol Work � <br /> � � • _ __ . <br /> Proposed Use uf Buudinp CoMect Persnn (Plan Rcviow) <br /> DescriV��n of Work lu Bo pone; /Lt�v�/f� U /j��_ f/�aM,., O1-/✓ F✓j/� Qe� <br /> �Y�...�yJ� � �8���.5 .��:.� _... <br /> _. . -� " e- B21�G����lllrlt 7a. GoO� .- -� <br /> NOTE: WIRiNG IN NON-DWELLINGS IS FEQUIREp TO FEE � <br /> BE IN RACEWAYS, MC OR AC CABLE. �� mf°L <br /> CITY OF EVFRETT LOCAL SALES TN(GODE IS J105 / <br /> 1 heruby certily fhnt 1 have n:ud flnd exdmirre�this application and kvow tlie sarne to be true nnd �`� `�- � � .S <br /> corruct. Alf piovisions o/laws end o�dlpances gaveminu tlus type uf wvrk wil!be compl�ted <br /> whe(her spocil/ed herain or nof. fho grantN�q ol a perrn7t dves nnt resume W yive euthorrty fo <br /> violata w cencol fl�e Dravisions of eny othvr state or locnl lew reguPtinp construction or(he <br /> perfumie��:b o!const�vcfiu T7�ef 1 am authodzed by tho ow�ner'of f his pmpedy to peAonrr Ihc <br /> work ror wfiich npplicafion ' made anJ I compty wlfh the Sin(e Cu�d�actws LeW 18.27 RCW and <br /> 2'36.200 WAC. <br /> ----- �v�, -- � .��� �l <br /> � <br /> _ _ _. -- -. _._ _ . _ _._J <br />