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�8!28/2�07 16:09 206957E267 COMPVIE�J PAGE �� <br /> ELECTRICAL PERMIT APPLICA'("ION <br /> CITY OF EVEREl"T PERMIT SERVICES <br /> 3200 CEDAR STREcT, EVERETT, WA 98201 <br /> 425-257-881U - Fi`X425-257-8857—www.everettwa.org � ` a���� <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> i�oa S� E✓��e�- /lra/� Cu� _ �"�6! 1°a.•-Y z= s���� `f2o <br /> PROJECT ADDR�SS <br /> ONT1er Mail Address Clry Stat>JLip Phone <br /> ,✓av�v /- /,�QvL,�o�� /�DO Ql�� �'K�w� .ti�vi� c!t 9,�� �� <br /> Tenanl h7ail Adaress Clry St o2ip Phono <br /> �'.�i1z����� y��(. J/�(o7'y��-efllA//?'�frn /L3�C J • ���' �-`��6V <br /> ElettfiWl onlratlof MaAAddross Clly Statetlip � Phone <br /> aL6. ys7-626.z <br /> CG�v�P(/f�.��'/�o/GD <br /> Stale Liconse Number CoMract F'riw of Work <br /> G6 v,{�/���e ✓d+r�vr� f�D� 1-��d�Lra v� <br /> Pmpased Use of 9uilding � Conta:t Persan (Pl�n Review) � <br /> Oe�c�iplion of Work to Be�one: 1yfd'�( I `�J(� l/�J'�//�(•p� l'�(� 4.�/D ' (/�s LL�-L� <br /> P�I.l.L� i12�- � I��I �' Uµl Ir'iG', U C.i:»�7�.�--� '� -�"t� 7��Z.+�C��z.�rJ <br /> � � ���� <br /> _ � ''� `X V i'.-r- � ��Ci:�ti,� � �c'��i -thc:.-,�-�C.� C{L V I(i � � n .,-..S . <br /> � �_� L ✓I C )�� � <br /> / <br /> c <br /> NOT�; WIf21NG IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE, <br /> U �, <br /> CITY OF EVERETT LOCAL SAL6S TAX CODE IS 3105 �D <br /> I hereby certily fhat!have rend and exom;nod fhis sppGcation and kno�v fhe same!o bo frue and <br /> corrac7. All pmNslons ollaws snd oro'lnsnce;qovermnq fhls type o(wo�k wi(I ba compleletl <br /> whathe�spaclqed herein ornot. The grenting ofa peimd does not resumo fo give aufhonty Ic <br /> viol�leo�cancefrho provisionsotanyofherstafeorleca!lawreguPtingconstrucflonorthe <br /> wo�h lora�vh ch appl cat o�n�ls msde and!comp/yinrh f�,�e Slefe Con(��as(ors Laiv 18 27 R�Cw and <br /> 296.200 WAC, <br /> �� _ i' �/ -�au��„� �fso/a 7 <br /> S�gn..Wro Uale % <br /> CG70c�-i �(`t <br />