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APR-23-2012 03 :31 PM EEC 1206T43493T P• 02 <br /> /� ` <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857 —www.everettwa.org t' `a�`12 <br /> Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> • C�-7,pt{-Ilb <br /> I no� Merri I I Cre�� <br /> PROJECTADDRESS <br /> �j"i��n nrv�.� �h a�-IYle-ri 11 �.r 1�1�7 f�►lerti 1) �►'�lr Pkwv EVP�2� <br /> Mall Addrns CNy Stale2ip � `.'e PhQ�^�O <br /> Owner vV7� `1d01 <br /> Tenanc M�II Addreas Clly StaldLp �°^� <br /> �� � �--- � LL PO �x l-�nDS t�1��1 ('rr�k�►��- QRn�a '�5481-8a1� <br /> Electrical Contraetnr Mail Addrea+ �iN Sv�elZ� P�^� <br /> ADV�p Q�1�8 � 1�� 540 <br /> S�te Uaenee Number Contract Price of Wark <br /> Li�' �"a1�iC�'l � n►-ar, llnrrnh 4a,�i-'1�'I a`I5a <br /> Pmpoaed Use of Building Contad Person (Plan Review) <br /> DesuipllonolWorktoBeDone: ,��A� ���Qrnl� ���`� �erV�C''P���m� <br /> �z'1�-i c2C� Corci-f'c� S <br /> NOTE: WIRING IN NON•DWELIINGS IS REQUIRED TO FEE O <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> .�� p � <br /> O <br /> CITY OF EVERETT LOCAL SALE9 TAX CODE IS J706 <br /> 1 hereby ce�tily thef 1 heve roed end axemined fhis epple fion y nd know fh-.�9me fo be hue end �I ���_ I I � <br /> correcf. All provisions o/Iews end ortllnencos povemin fhis f pe o!work will Da com�!sied <br /> whetharspec�edheroin ornot. The prenting o/e permd does nof prasume ro grve euthonty fo <br /> violefe or cencel the Pmvislons o/eny ofhersfele or lacel lew reguleting consfrudlon or the <br /> pedormence o/construcfion. Thet 1 em eufhorized by fM owner o(fhis p�uperty fo per/orm fhe <br /> wo�lc for which plicefion is mede nd I comply wifM1 the Sfete Confrec(ors Lew 18.27 RCW and <br /> zss.2oo wa . <br /> �� , �a�ia <br /> g ure Z$ e <br />