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May• 21. 2012 12: i11 ?,"d �o. 4127 P. 4 <br /> ( t <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 5_ �I `'Z <br /> 3200 CEDAR STREE7, EVERETT, WA 96201 <br /> 425-257-8810 - FAX 425-257-8857—www•everettwa.org C/ �S /�Z <br /> APPUCATIONS ARE ACGEPTED FROM 8 AYI TO 4 PM <br /> 1� l�- ��-4-- A,�e. � �ig2o I <br /> PROJECT ADDRESS <br /> �G,'� �,Y1ftF,� ��-4`�-.� _. ���3Z?$� <br /> Owner <br /> MailAddress �ily State/Zlp Phone <br /> Ci� SlalelZlp Phone <br /> Tenant Mail Atlaress y <br /> �.(YII�aTI�GI �r1(. � GL�,1 1�7Rq�7,�� �I2�J2 - - <br /> Clt Slate�t p Phone <br /> EIBClfIC81COnIfBt�Of MailAddf288 Y � <br /> ""� � � Conhact Pri�rk <br /> Slale License Numbor <br /> Proposed Use of 8uilding Cantacl Person (Plan Re��aw) <br /> Description oF Work to Be Done: C l,U IU V "`v,�V � " '�'" �'"�� <br /> NOTE: WIP.ING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALE8 7AX CODE 18 5105 <br /> 1 hereby ce��y fhat 1 have road end examined fhis epplicafion and knoW fhe same fo be frue Bnd � <br /> correct. A��p���sions of lews and ordinances goveming fhis tyAe o/work wil!be comp/eted (���S - �U 2 <br /> vl olatoeoi ca coldhe�pBrov srons�o/any ther stete Pel af�aiv raguPst/ng cmoens ru�c it on ofr Iliey to <br /> peAormance o(Construchon, That I am authorized 6y the owner o/thrs proparfY fo peAo�m fhe <br /> 296 200 WAC.apn���afion is made and 1 comply wtfh Ote Stete ContraC(ors Law 18.27 RCW end <br /> �� ��ai � �a <br /> ��oaC <br /> sl aluie oale <br />