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Oct 16 04 07:o2a P� 1 <br /> � �. ( - <br /> ELECTRICAL PERMIT APQLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857—www.evereNwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 3 CREDIT CARD3 ARE NOT ACCEPTED <br /> �svo T�N.Mr MA�I- r¢U� <br /> PRO.IECT ADDRESS �c{� <br /> y� <br /> L'on-t oF �vF�u.7 3SdG T'�•�-�i� ,t.0 �L�IT �'aer ?y�y <br /> Ovmer Mau qaarasa Gry � � SnleIDp anons <br /> J3►!Al 11cI/ <br /> Tenant Ma�icNrese Clry ShWLp Phar <br /> rtk[.�.v�li, 1uS' <br /> EI9cMcal CoMra�Oor Ma�.cc'dnss Ciy SheeIDp Rwn� <br /> �r�'LA�tGI�' N2 �!' _Sooa� <br /> State Ucense Number ContrEd Price oi WOAc <br /> �P/LJ 1�'1�6L�/N(.. <br /> Pioposed Uss of Buildlrg Conhd!�arson (Plen Reviaw) <br /> Description of Work to Bs Done: NQ �j !J�JT!2! �3uTie�t/ �°/E-�L x Cc�,l. <br /> ���ES � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN .^ACEWAYS, MC OR AC CABLE. �`� m G <br /> l <br /> CITY OF EVERETT LOCAL SALES TAX COOE�S 3103 <br /> f hsreby certily thaf I heve read and exemined NIs applicatiwr and know the sartre fo be hue end <br /> conect AIf pravisions allaws and ordlnances govsming this rypo o/wurk•.viH be,completed <br /> whether specified herein or not. The p2nfing ol a permd does no!Prssurt�e to grve authority to <br /> viofate or cancef the proNsions o/eny otf�erstate or Ixa!!ew�aguletlnp c.�nsWction orthe <br /> performance olconslrucL'on. That i am authodzed by Na owner d fhis prcoerty fo p�dorm the <br /> work/or whicA appficatlon is mada and I comply with the SMfe Contracfors iaw 18.27 RC W and <br /> 296.200 WAC. <br /> (rf IO I,( O <br /> pnaWre � <br /> ( iM�'!� 7 �c�'y �4./1-i.r <br /> � -�/O-�7Q <br />