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Dec 21 07 12: 36p P• 1 <br /> ELECTRICAL PERM�T APPLICATfO�V <br /> CITY OF EVERETT PERMIT SERVICES <br /> 425-257�810DAFAX4 5�25 8857�www.eve?ettwa.Org �2 r�`��7 <br /> CD /�z —l� <br /> 'pPWCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /0�''/0 ('9� A.V� d'� yzT <br /> PROJECT ADDRESS <br /> s�,� <br /> 06 ,�L 1��� ✓`'9'�� Q,t.� �,1�6 1Gu � �u�� Si�2�S 9S9q <br /> pwnpr MaII�Addre�s Clry Slate2lD Pho�e <br /> Tenant Mall Addreaa Clry StOto/Zip Zr . Phans <br /> �N io�N s'�.S 34or ,Ev r1v ,�u P�s_,.� y� ��� <br /> Eleculce�Conlredtor Mall PAdroaa ��h �SB��P P�0°° <br /> �t�l�sl�u S'S'I y 2. [.� . 1,e'fbe � - — - - <br /> Stale License Numbar , Con ct Pdce of Work <br /> C011�M <br /> Proposed Use of Building Contecl Person (Pian Re�lew) <br /> OescripUono�NlorktoBaDone: SECVJuTAr t-.��� F ' tLi �)�iS�"' <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO �E �R <br /> BE IN RACEWAYS, MC OR AC CABLE. ?� <br /> .� <br /> CITY OF EVEREIT LOCAL SALES TAX CODE IS 3105 <br /> I here6Y certlty that I have road and axamined thls appllcetion end know ihe same 10 be We and <br /> Correct, All pmNslcns ollaws end oro'Inences Da�amfnp tl�ls type ol work wlll be complotad <br /> whether apedRed heraln ornot. The gmntln9 of a permd does notp resume to glve autAodry to � <br /> violeteorcanCQ��+e�pinNslonsolany0therytsteorlocellawrepulrBnycOnsWcGonOrthe � � <br /> perlormencG of construcGon. That I em outhorizad by fhe owner of thls properfy to peAorm the. <br /> wortC�or whlch appllCbUOn!S med9 end I camply wlfh the Sidte Cont�eclors Lew 18.2i .QCW end � � <br /> 29B.20U WAC. " � � � <br /> . �� �/.f�/ L/ ( �/�-�/Q 1. <br /> / rnemro a� � <br /> \ <br /> �,� <br /> ,1�2 . <br />