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PF'P,-27-2008 2�:36 From: To:2578857 Pase: l�l <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7REET, EVERETT, WA 98201 <br /> 425-257•8810 - FAX 425-25�-8857—www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 Ph1 <br /> � 5ab ) 5� S����- _.. <br /> PROJECT ADDRESS <br /> �fi o� ��� <br /> �v'2�" 61QIP,� �)� 5�1-0� 3�r-()lo?/ <br /> Owner hlail Address Clly 91�1e2ip Phone <br /> ��-�-'���.e,'-Me��i Q � <br /> Tenanl Matl AJAmsc qly SlatclZlp nc <br /> ��p'��1_��c' �ic. /1 c l��(n,�n,� } ,vP�'Q� �)A- �18Z0( Z 58 655 <br /> [Iectriwl Conlractor M1�aii qddross Clty Siaie�Z�o U Fnone <br /> ��Nrr�� �i'��n� �� 1�,91�5°' _ <br /> S��ie license Number Contracl PNce ol Work <br /> ` � Q -i-�1��-r.�Co�e ��' � � � .S aL �' .. <br /> • Proposed Use ol Ouild�ng G�nla t P�rsan (Plan Reviaw) <br /> Desc�ipliun uf Work tu Oo Donv: 1.f1�/�J U� I TIA1/►L ��{rf�J S Y J�� <br /> �y=- <br /> � r'��r��l s �/ �./��c�.� <br /> � (�Sp�-( - 'cj� <br /> NOT[• WIRING IN NON-DWE�LINGS IS REOUIRED TO FEE <br /> �E IN RACEWAYS, MC OR AC CA�LE. <br /> �ITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 n����i~,-n� <br /> I�/ U! <br /> I hereby certify 7hat 1 havn road and oxamined fhis spplicafion and know tho somn fo ho f�ue snd Y � <br /> ce�ece A!1 provrsions o!faws and orU/nancos govermnq this fype ol work�t�lll he cornplefod i _ -, Q�1 � <br /> �.nou�o�spca6c0 hcrcln or noL !'he grenGng ef p pomut Ooes nof resume�a gfve auuioriry io �+04� <br /> violafe or cnncvf!hn�rpvisions o�xny other stato or lowl!mv ro�uPtlng construction ur fhe `�i%k� <br /> perlormancc af cons(rucfion Thaf 1 arn eufhonrod by fhe ownor o!fhis Froporty to podonn fho � <br /> �rorn Wr n�hich app6cation is maJo and 1 cornply�vifh(he Sta(e Confractc�s Law iB.27 RG W anA <br /> 2P6 'Op tM1'AG. � <br /> /' <br /> — " � � ���� <br /> Slgimlum Dalo � �� <br /> ZS. z� Av� <br /> ��� / <br />