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DEC-a-��U[t3 02:12G FkOM:PROFE55I0h1HL ELECTPI ���3 •+�5 1182 T0�42525�885� P.1 <br />ELECTRICAL PERM�T APPLICAT60N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR[ET, EVERETT, WA 9@201 <br />425-257-8810 - FAX 425-257-8857 - wvnv.everettwa.org <br />APPLICATIOIJS ARE ACCEPTED FROM B AM TO 4 PM <br />�3v i // �, � A�e <br />PROJECT ADDRESS <br />//' ir <br />Owner <br />/,�/� ti_ a3o � f.G. <br />A1all Adtlros5 <br />Clly <br />Stale.2lp <br />� 2 - 09-08 <br />Eogr2-o5S <br />Phenu <br />� N � <br />TBnanl A1ailAddross Cdy Slo�o�l.lp Pho��o <br />i'r�ss,o,� i f=i�� �G,c 1�, Pvn � rs �� �.�, h-, �✓sl �ea� � <br />EIOCIi'ical Conlr2ctor M11.11 AdUross Clly Slole�7.ip Phone <br />��r!2 Y5 /-�,r4 .10 '7 %�,� <br />Slate Liconso Num6er <br />�/.., �� � <br />Propased Uso of Buii 91ng <br />_ %S`D n <br />Contract Pnce of Work <br />CanlaG Pr.rson (Plan RevieLv) <br />Doscripllon ol Work lo Bo Uono: f�/p�� fP ,� �o y' t/ i�i� n� �q�� p,-, �o�"'�� <br />R!_�'. � __�IJ=S�S C. J !7 �P�l � <br />NOTE: WIRING I�! NON-DWELLINGS IS RE�UIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />C�TY OF �V[RETT LOCAL BAIES TAX CODE IS 3105 <br />I heroby co�f(y (hn(1 Gevv wud antl ex�iminod tllls appl�cafien end know the somo to bo fruo nnd <br />corruci. All provls;cns o(/a�rs and ordinancos povonunq thls fype o/work w111 Ge completed <br />�vl�uthur sp�aRod horofn ur ncl. Tho pranf/ng oI a pormit dovs nof piasumo fo glve aufhorrfy fe <br />vlolaro or cancellho prov;slons oI any cth�r sfnto or locoi la�v ropulafing consfrucflon or fhe <br />peilormnnce o(constructlun. lhef I om eufhodzed 6y fhe awnor ol fhls property (o perfomi fho <br />work lor �shiGi applicaflen Is mado ond ! comply �vifh thr� S(a;e Contreclors C nw 18.27 RCIN nnd <br />2'J6. "lJ0 lM1'AC. <br />� <br />��,� -S S <br />