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Nov 12 10 09:56a Diamond Communicalions 4254133904 p.2 <br /> � \ <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425257-8810 - FAX425-257-8857—www.everettwa.org �; -;��."�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C-�Q�l "O�7 <br /> ��,�� r11�,t�';t l L`t'E{:K �a� tc�ux. � i?,1cic� ,C.� <br /> PROJECT ADDRESS <br /> Owner MailAddress Cily SfalefOp Phone <br /> �,�.� ..�tt:--�rrb��-�mh��� ;�—u� SG� f34�—`'.SE �'�i- �fi� �����.1-}k.�! yzs-�-:.� �� <br /> Tenant MalAddreas qty Stela�2ip Phone <br /> �(��rLL•�iC� �_C:V11�Y11lu�lCh 'Ei(kt��Ci.�l�_ �1 [� �1( ��r �G}�?i�- L:.'1-].���(i�S �/���-�13�•[c�i �r:� <br /> EIBdnC21 ConUaClDr A1all Adtlress Cily Stabfrp phone <br /> �� �N c�c i 9 C S'cs � 20 ,�Oo°�' <br /> Scete Llcense Number Conlrad Prica of Work <br /> ti.C,\\\ �X.iceS. �:-�-�.l.C� � 1�t1\G�� L�Z�u-�G�-c,�.\ <br /> Proposed Use of Buildin8 Contact Person (Plan Ravlew) � <br /> DescriptionofWorkbBeDone: Tr\S�tl\�C:�'4 �C:\'� iS� (���tY1Y1l��� ll CCAy�(GY'1 (�(L�`)�C � � <br /> � 1c � C' i�6)��� 5 - <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> BE fN RACEWAYS,MC OR AC CAB�E. <br /> CITY OF EVERETT LOCAL SALES TA7f CODE IS 3705 <br /> /heraby ceriify ihat!have reed and exemined thJs appllcalion and kirow the seme fo be hve end <br /> correct. A/!provlslans otlaws end ardinances govemGg fhk rype of work will be aomple(ed <br /> wtather spedl'ied herein or rtot Tha granling ol a perm�t does not wsume to give aufhorlry ro <br /> violete or cancel the provisions olany ofhersfate orlocal lew reguPsUng construc6'on or the <br /> wo�lorawhi�'ch��a�lica o i�%s madet and!iom�I��ythe StaleeConf a�s pr�perry to perform the <br /> 296.200 WAC. P� py dors Law l8.27 RCWand <br /> ���'' 'y : <br /> � ' /. ;�. ��. <br /> .C� C-ti' ,�% � � ����� <br /> —�Signative � Data / '" `� "' � <br /> � <br />