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11-20i2012 1i: 19 FAS 42595J8994 E��ersreen SecurltS �002 <br /> \ � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> Z7i7i, �e�/W�T n V v <br /> PROJECT ADDRESS <br /> � 3 l l-W� Mre C �e�( I� w� a8�1.c�2r <br /> p�y�e� MallAddress Chy Stat02ip �o^s <br /> �AMJS I'V�R�VI,I�Ql'�,�n A �� 2�-1`lo•SSZS <br /> Tenent MahMOmse Ciry Stete2q �� <br /> CV��Y2Q/In �CUYi.�-v► g�IS�G�i. r3.�#101 �P� bJl4 ag'1,D`'.� <br /> Elecbical ntrador Meii ress City V 5fateP_�p � <br /> �vC�2Gs�i i a�a. ��535, s'' <br /> State License Num6er Contrect Price oi Work <br /> ��,.�} �ra1� Mu.rravt _ <br /> Proposed Use ot Building Contact Person (Ptan Re�ew) <br /> Description of Woric ro Be Done: �Yl�a'�'Q�,I 1�-�SS w r���1'�7� 5���V 1 ' <br /> l L.v�V� �u� �`�1.� c5''�'ei�1(�,� � t `C(h-1-STW� "��� �Yl7C..Q <br /> a� �r�n� L--n�t-ra- 'ba�r <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREDTO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. r/10U <br /> ✓ l/ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 ��I �!! �//-yyy <br /> I horoby ceRily that I have mad end examined fhis application ond know tha same fo bo Mie and � I'Z�, ' I �{-� <br /> c,onect. nl�provisions of lews and ordinartces goveming this type of work wfll be,complefed L I <br /> whelhor spodlled herein or not. Tho g�enNng ol a pertmt doos nof prnsuma to g�ve auffroriry fo 1 <br /> vlol�loorcancvlfhn proViSi0n8o(enyother5tefeorlOcallnWrngulafingConstlUCt/alofGle <br /> pedo�mance oI constroction. That 1 am auMaizetl by the ownerol fhrs property�o pedorm tho <br /> work lor whic p/icafion is mado and l crompry wifh fhe Stafo Contrac(ors Law 18.27 RCW end <br /> 296.200 <br /> �a <br /> ture Da <br />