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Jun. 25. 2012 6:45AM No. 4412 P. 4 <br /> 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everetlwa.org <br /> APPL�CATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2222 We�fe—_ VG C-�]�rdt'W P�-9g201 <br /> PROJECT ADDRESS <br /> ina c a� 2 <br /> ovmer Mau nodr... city sioteizip P110np <br /> TiMnt Mail Addresa Gty SIMlRIP PhOna <br /> � I 141rj el�� l�qg201 4�25259 �oC�lofo <br /> EIeCIfiG71 COIlttec ot Mill Addroas Clty StatelZip Phone <br /> S'MI�rM�4RO1Q� 2� � <br /> Stab L�cense Number Conlract Price of Wo�k <br /> roposad Use of Bulltling �Isct Pe�on (Plan R�viewj y,,�,y <br /> C li, ... � .S�lµl <br /> N.tA.IL I�_ <br /> DseaipNon of Work to Be Done: T�S r � ' ��� II �r�"'-� � �`' r`I � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E � <br /> 8E IN RACEWAYS, MC OR AC CABLE. �O <br /> CITY OF EVHRETT I.00AL 3AlES TAX CODE IS 310b <br /> 1 here6y certify Maf I have reed and examined this appliceb'on and know the same to 6e huo and � � 0 �� <br /> carrecl, All pmwslon�s o/lews and oMinances goveminq this fvOe of work wifl be complefed 2 —I <br /> whather specHieO h6refn a nof. The granfing df a permi!d0e3 hotprosume fo pivq eufAority to <br /> violefe or canMl fhe provisions ol any ofhar sfafe orloCel law regulntinp consfruCNon or Ma <br /> perin�nanee o/construc6on. That 1 em authonnd by Ne owner o/fhis propeRy to peAprm the <br /> wwk7qr�whieh epplicefion is made end 1 comply with fhe Stete Conhacfon Lew 18.27 RCW and <br /> 286.200 WAC. <br /> � !Q'aa' (�^ <br /> Sipnaluro ele <br />