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MfaY-8-2012 01�56P FROM:Df'iFif_ 0.ECTRIC-EUEF2ET 425-252-2999 T0:4252578857 P.1'1 <br /> 1 . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �a�. /�Z <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810 - FAX425-25T-8857—www.everettwa.orp r�$_�I <br /> APPLICATIONB ARE ACCEPTED FROM t AM TO 4 PM <br /> � 7 2 � �0��3 y ��n�.�( <br /> PROJECTADDRESS <br /> OWnef Mall/WOrese Clly SlatdZlp Phono <br /> P/e I NTC'�2 lu k S9u.�. �7a t C��.�a y G�.��r wfl 9�zo� y�s-��z$�a <br /> Tenard MatlAdaree! Ciry slate2lp Pnone <br /> LJqNI. �LFGTVZic J�1d1 Mc�vub�cc. /�t�� �,`Y�'+e•tti t✓!} 9�KZal <br /> ElecMcalConfrectar N411Addrseo Clty SlateZp Phone <br /> �-�� y�s•asa•�7ov <br /> �14H4CE I 1���f� �-`�ddOw <br /> Stete Llcenss Number ConVact Prlce of Work <br /> Proposed Uee of Bulldlnp Contect Peraon (Plen Revlew) <br /> Oescripllon of Work lo He Done: A�p CI�G(,��T FD� ��1�l1 dN /���DN� �JN�i✓� <br /> NOTE; WIRINO IN NON-DWELUNGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL 6ALE6 TAX CODE IS 3105 ]� /� <br /> !hereby ceRl/y fhet I heve reed end exemined fhla eppllcaflon end know fhe aeme to 6e true end l_� ��—t,.�S � <br /> r,orrecL All proNslons ol lews end ordlnences goveminA fhls type of work wIII be comp/eted <br /> whetherapecliled hereln orno(. The prontlnp vfe penn7f does no(presume fo plve eulhvAty fo <br /> vlole(e or cencel the proNslons oleny other s(efe or locellaw reguletlnp construcGon or the <br /> peAormence ol cons�rvdlon. 7haf!em authorized by fhe owner o/thlsp ropeRy fo peAortn the <br /> work/or whlch eppllca0on Is mede end I comply wlth the Stete Confreaors Lew 18.27 RCW and <br /> 288.200 WAC. <br /> �a. �1� s • 8- ,�v� .2 <br /> pna uro ab <br />