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Sent By: Access Telephone; 425 fi49 8450; Oct-18:11 13:33; Pa9e 2�2 <br /> t ` <br /> ELEC�TRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> �200 CEDAR STREET, EVERElT, WA 9820) I� _�g.,�� <br /> 425-257-8810 - FAX 425-257-8857—wwN'•evereriwa.org <br /> APpLICATIONS AR8 ACCEPTED FROM 8 AM To 4 PM <br /> �lll0`��i S <br /> a8ao oa�,ses Ave. ` �v�r_�s�1�. Qearpl <br /> PROJECT ADDRESS <br /> Owner <br /> Mall Address Gty SuleRip Phone <br /> p( _ '$ Ci0 <br /> Tenent d�Addrsca Qj\ �10� <br /> Ciry SlatelZP Piane <br /> 1�f�,�.���say�reLh���td�=���4�'•SO" u� 119 � �� �L1C I��A RgU�6 �1',,1�"YL. -a-,� <br /> El�ChiCel CofltfiClW M41 ACdfCis CKY Slata��V <br /> O� <br /> �� L C'TG r15rh (`(� ] � Conuact I rice ot Work <br /> St91e linnse Number <br /> Contaet Person (Plen Revi�w) <br /> Pwposed Ux of Building . <br /> DescripGo�ot W ork lo Be Done: <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC tlR AC CABLE. <br /> CITY OF EVEREtt LOCAL SALES fAX COUE IS 3105 <br /> 1 hereby teRly IAef 1 heve read and oxemined this epplicetlon and know fhe sama to be trua and �/'I � _D� <br /> carett. A1lAioviaans o/laws and orQmancasQoveming tlris tyPB o(��will be compfated � <br /> whether speGfiW hereln ornot. 7he pranlinq o!e permR does not rasume to gi✓q aurhoAry to <br /> violaM or cancel fAe provlsions o7any otAer staro or Iw:a!!aw reguPting consLuchon or f�o <br /> peAomisnce o!constr�ction. That 1 s�n suMorixed by fhe owner o/this properb to peA rm Me <br /> 298 200 W C appllcatron is mede end I comply wifh tha Sfete ConVsctors Law 18.27�CW and <br /> Slgnetura ' ° <br />