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11/01/2004 14:52 425-775-8969 MINUTMAN PRESS PAGE 01 <br /> ELECTRICAL PERMI� �P��.ICATION <br /> CITY OF EVERETT PERMIT SEI�i/IGES <br /> 3200 CEDAR S7REET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—wow�.everettwa.org <br /> APPLICATIONS ARE ACGEPTED FROM 8 AM TO 4 PM -DEBIT&CREDfT�ARDS ARE NOT ACCEPTEo <br /> 9a��.�' ��� PL. c�' �.��� �� <br /> PROJECT A��RESS <br /> ' �STffG}rLs' �un�cs t-1,G. �9aS/7o�STsiiL,}n�r,�r� � � 9"f1p37�74f=o�� <br /> Owner MaIIACdross Gty Sbt!/Zip PhC�G <br /> �/� <br /> 7enant Maii Address City StareJ"Gp Phone <br /> �'9 ��i�q9` 'Q�1�'! Sp�iCfl%li� �d E�C/L�� 4� `dg��S 4�3?¢97/ <br /> Elacin:al ConUactor Mail Atldress city Srate2ip Phor.e <br /> �r0 lla�ab o�4c.�' ,� ��i-� %-���r-��� �-�,.fa� ' <br /> Statc License Number ConVact Price of W ' <br /> S r/l, ,(�i�' <br /> Proposed Usx of Bulltling Contact Person (Plan Revlew) �� <br /> Desc;iplionofWorktaBaDone: ���� �'s�L !j?Od S� ��Cf �p�9.�1►�s�a4 <br /> � NOTE: WIRING IN NON-DW ELLINGS IS REQUIRED TO FEE <br /> 'I BE IN RACEWAYS, MG OR AC CABLE. <br /> CI7Y OF EVERETT LOCAL SALE5 TAX COOE IS 3105 <br /> I hereby certiry thar f ha�..�read and examined this epp/ication and know the same to be true ard <br /> correct. AU prnwsiens oflaws and crCinances gcvarning this rype o(�.vork wilf be comp/eted <br /> wnether speciAed herein or not The granting af a permd aoes notP resume to give authcrity tc <br /> violatecrcance/fhe provisionsolanyotherstatecrlccallawrt�u/aUngconsWch'cnorthe <br /> perfortnance of��rtstruclion. Tnar 1 em authorized by fhe awne^ofthrs PropeRyto perforr,r:he <br /> wcrk kr which applicaticn!s made aod!comply witb fhe 5(ate ..onfrecfors Lew 18Z7 RCW and <br /> 29E200 WAC. <br /> /��7��� ����'¢ <br /> SignaGre �a:e <br /> �/- d�� ' <br />