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05/11/2012 10:57 FAE 425JSJ88J4 Ever6reen Securlt9 �002 <br /> C � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT, WA 98201 <br /> 426-25T-8810 - FAX425-257-8857—www.everoriwa.org <br /> APPUCAT10N3 ARE ACCEPTED FROM 6 AM TO 4 PM �"I I"I�.L <br /> �� 00 (.;-, �� �4� E �20 5-06� <br /> _ C�,�nd �- �'� <br /> PROJECT ADDRESS ' <br /> �jUl�iklf�:VOY't N��l.dt.uJol�n <br /> �,�,�,�-�uxl�s �� c�d �rve. �,e.� ww- a�� lu��y s4� <br /> OwflOf M�IIAddnts CRy SpWZiD Phoro <br /> .f-�r ba: Utx�nn. M .1a.s.k.�� Fnu.nd�i� 1501��7t��� ►��I�cv� 5�,�.,/,�Tee� rs� <br /> Tena�t —� ilAddreu Gly StaMlUP y�R7t[�Qj Phon� -16 ��( <br /> � �Yl� 75��5 3��S�1 ��Z.�f�C (^}�} �� '1!!o '3 �� <br /> Elechicp ont�dOr M■il A dr�ca City $htNip Phora Q <br /> �v���si ��a� i 42z. � <br /> Stele Licanee Numbtf COntnd PriCe of Work <br /> � � �� l <br /> Propoaed Uce ot Buildinp ConMq Percp� (Plen Wview) <br /> � � <br /> Descriptlon of Work to Be oone; � f� � r'l GC�IsY� <br /> Sr�Ca`�\ GI r1.6Y� k. <br /> �• �1►-P.1� '. -fT'�.�'�fo f'tv`Dr' �. � <br /> S. u.n;,�.�s�..� Z,�, g , s. �. �dc <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED O� ��� �' FEE <br /> BE IN RACEWAYS,MG OR AC CABLE, <br /> CITY OF EVERkT7'LOCAL BALES TAX CODF 18 7106 <br /> f I»BDy c�rNly Mot/h�v9�ed�n(l 1Yemin�d fhis eppl'roYflOn end MIOW fhe SaRIR t0 bs(tu9 and � � an5-oc� 9 <br /> co�rect. Allp�vis�ions ol laws an�/ordinanopspo�emlng�fhis(yp�o►Mor1c will bB oompNhtl <br /> wheMror spYaTMU Misin of not. The prantin9 6/e pemt7 doas nOtIoroaurrN to pive eufhoNry to <br /> viol tewcanceltho v�san ofenyofhsrsfafeal llew ulefi conatrucBonorMre <br /> a��m,A�or�„�',°�oa,. �rnat I am a�n�.d by°`r��.`°Pw N'r�prcnenr fo a.�,n,�e <br /> D 2lor h�application is mads and I mmpy wlf�th�Stete Contiaclors Law 1E.27 RCW a� <br /> � 1 �L� <br /> m .c. <br />