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nov 12 10 03: 39p Steve d Terri Her6man 360-568-6675 p. l <br /> � �_ <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> a25-257-8610 - FAX 425-257-8857—www.everetMra.org . <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> o?II (0 ��FF����4 �1� <br /> PROJECTADDRESS <br /> ��I�-TRI.S�ASNL�y �TOI-}l�`SlI(�//b l?4Cl(�FE/ LEf��} ,• _��LJ�7 f�'Z�/ <br /> Owner MaiiAtltlmss Ciry SlaielZip P�wic <br /> �g-��1 � � � � i r ( i r �25-5�3���/ <br /> Tenant Mail AtlCiess city Siate2p Pnonc <br /> C'�R �n�R ����Tiei�i�,�� 4oNm���AY� �-S�i�ld/f4'17,(If/ �U/3���-'/���' <br /> ElCddcal C011lfaciof Mall AtlAiess Ciy Sla�e/Zip Phane <br /> C OfZRs�-1`7���J .�Q7 .CY� <br /> Stafe license N�mber Coniract Price of Work <br /> �SiD�i�Ti f3-�ffvin E �';F✓�a���h���1 <br /> Proposed Use�I Building Contad Person (Plan Review) <br /> OescriDtion of Work to Be Done: ��' !U Y l� r vW� �U� ��(/ ��,t�.�( Q�/e <br /> �U L7(�S`S uNIT� . �l�-r �uwl(�� � <br /> , <br /> NOTE: WIRING �N NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC UR AC CABLE. <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 3106 <br /> I hereby certily Ihnf I hnve read and exami�d fhis applicafion arrd know fha seme to be f�uo and I <br /> corroc7. All provisons o/lnws antl ordinances govemv�Mis typo oI wortr will Ae complefed G �` 1 _ U.�� <br /> whefher specifred herein or not. Tlre granting o/o pe/m�t does not prasume to give authority lo I <br /> v�olafo or cancel fhe provisions olany alher sfate arlocal lnw regWating construction arfhe <br /> porlormance o(constrvdion. Thaf f am authonzed by fhe owner o/fhisprv perty fo per/orm the <br /> wolk lor which appfica(ion is made and I oomply wifh the Sfato ConMacYors Lew 18.27 RCW and <br /> 296.200 WAC. <br /> �l�t�,��-��in� //-/Z -/D <br /> Signatura alc <br /> C�.� �loc� P[�� Ci�-u-- ��� �� 3/�D��Gld75 Fc�k' m����Di� <br /> - - � E_�°r31o11S1r�6 �, .. <br /> � ������2,'�$7,C�� <br /> �i <br />