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09/07/2012 LS:17 FAI 42535J89J4 Everereen SecuritS �001 <br /> � � l <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEOAR STREEC, EVERETT, WA 98201 L�,,�r �IZ <br /> 425-257-8810 - FAX42r257-8857—www.evereUvva.org '�r <br /> APPL1CA710N3 ARE ILCCEP7TeD FROM 6 AM TO�PM ��9�� <br /> :33��- (k� S <br /> PROJECTADDRESS ,� � u�Fr�82b1 <br /> ��-r(c- 1.���n� 33a�-c�,i b�, ►� �e�$ W� q S?_01 y����,oy <br /> Ov�Tef MaAAddrQss CRY S�Id7Jp PMne <br /> �ar{�li.,c� �-r'ma�nl oa u 3�� Ib�, AvC S�k.6 psn�p.�R FrID► '�ZS)3$S <br /> Tenant MailAd C' gy�p \ p� <br /> ^y �Dn, '�. L Q _��yA- ' ` �t ����_p � J��B— <br /> [� �7�^'� 1 l l/� /1 I�S ��LU'6f��0� T11Q/L�(.!MT`/��� � tz 4 C71 <br /> ElecVical tractor Msl y��,p P� <br /> � v�R�-.� �a�a a o , .- <br /> State LJcense Number Contract Pdoe of Work <br /> (1",�Ol,i ca.P L�1�i"[� <br /> Proposed Use of Building Comact person (Plan ReWew) <br /> Squere Footaye(If r�sidentlal new oonstruction,nrtwde�or�dd(tlon) <br /> Description of Work to 9e Done: _ 1 ,( (�J(�, l_J��•� <br /> Nl�7E: WIRING IN NON-DWEILINGS IS REQUIRED TO � <br /> BE IN RACEWAYS, MC OR AC CABLE. ��� <br /> CI7Y oF EVEREIT LOCAL SALES TAX cODE IS 3105 <br /> I hsreby certify�hat I hava read and exeminsd thls ap�cab'on and(vrow the same fo be fn�e and <br /> correct. All provisiona o//aws irM ordinnnps yovelning this type of wwk wil/6e compJefed � ���'O�/ <br /> wheMer spx�f'isd hereln or not. 71re grarrtlng ofa psrnnt does nofpresume!o give euMwrY fo l,� <br /> videteorcenceltheprov�sionaWan ofherateteorloceflawregulatinD�+WuctionorMoy ( <br /> pertomience of conetniction. 7Naf m authorized 6 the ownar ofth/e property to perlNim Ihe <br /> work for which plicaoon ia r.d l comp s Shte Conhactors Law 18.27 RCW an0 <br /> 296.200 WAC <br /> _ � � <br /> Sq ure e <br />