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MAY-27-2011 11:20 From:LNP BB86159679 To:14252578857 Pase:4�10 <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEOAR STREET, EVERETT, WA 98201 <br /> 425-257-8610 - FAX 425-257-8857-www.everettwa.crg <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM S-��- I� <br /> [ �� p5- i53 <br /> a� a3 c�� b� /�„�. �',,�. l� w� 9oaol <br /> PROJECTADDRESS <br /> Owner Mail Atltlress Cily State/Zip Phone <br /> ����Ts .�7a3 c• lb„ A Educl'►" � `16d01 y�5-25,1-57 g <br /> Tpnant MailAddress� C�ry Stale2ip PnOne <br /> /1�1e�-ro C�� ��� LCC ad 1'�Atr�� �I� g2`�-�'�� l.� �c`��I3 `� a5�-3�4-9s <br /> EletUital ConVactof MailAddreec �City Slale2ip Phone <br /> �s'�i2oc-c. 9 �d1 0� 5 `IH�91 <br /> Slale Litense Number '' .ice ot Wvrk <br /> CIC�I1 SS �J� �1 MNMI�� <br /> Proposed Uso of Building Contact Person (Plen Review) <br />� DescriptionofWorkloDeDOnB: I�M 4- bd��ds� G�vK'�2 � pw rc }tit�[��Y' <br /> Mar.Qe� 5 <br /> NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � , <br /> CI1Y OF EVERETT LOCAL SALE5 TqX COpE I$3105 � _ � <br /> I hereby certily that I have read antl examined thls application and know the same(o be frue and `F�j,�� <br /> cor�ecf. �ll provisions of lan�s and ordinmices ooveming ff�is type ol�rark wJl Le conrpleled <br /> whethcr spocitod herain ornof. The granfrng e1 a psrmrt tloes not resume to giva aufhodty to <br /> vioiate or cancel7l nrovisions oI any other state or y cal law re�uPar�nB cop5�ycr n,o.tne �� I u J ^ 1 �3 <br /> peAurmsnce nl c struction. J at l am aufhonzed b fhe awner o/Ihis�m ert tu eAomt fNe � <br /> wark!or which a plica6on is e and!compty�vith lhe Sfate Contractors La�v 78.27 RCW and <br /> 296 200 6V C. <br /> . 5-a � <br /> SignaNre ate <br />