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V6/19/2012 HON 9+ 16 PAY m005/DJ5 <br /> r . <br /> J <br /> � �T- � <br /> ` �LEC7�IC�L PERMIT APPLICATiON � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE7, EVERF'TT, WA 98201 <br /> 425-257-a810 - FAX 425-257-8857—wvnv.everettwa,org <br /> qppLICATION3 ARE ACCEPTED FROM 8 AM TO 4 PM � _ ��' I eZ <br /> E � zo 6-U�'17 <br /> �n�6[�� ���"-' A�.r- S= <br /> PROJECT ADDRESS <br /> Owne�� �� � - ; , Q w u'r��,� <br /> M 1 Arldms0 Clfy StolefLlp PhonO <br /> TbfiCilll MPII/�Cl(06J Clly SlO�eIZ�P Phone <br /> qz5 <br /> .1 '��� 1 <br /> Ele ical Contractor htau qddress ' city . s�s�emP q Pnono <br /> �c:�nl.�r4�.q��`e� `�'t�•3"�- <br /> Stale Lice e Number Contrect Prlce ot Work <br /> �On1v�e,�c.Lo�- <br /> Proposed Use of Bulld�ng Conted Porson (Plnn Roviow) <br /> Deocrlption of Work to Ee�one: L���`�+�'l�"�l� (�_�-����� � <br /> NOTE: WIRING IN NON-DWELI.INGS IS REQUIRED TO FEE <br /> DE IN RACEWAYS, MC OR AC CABLE. �O 1 � <br /> � <br /> , CITY OF EVERETT LOCAL SALES TAX CODE 13 3106 <br /> !horoby r.ortlry IhaE I hnvo road and oxaminod this epplication ano know(ha samo to bo truo end 1 � O � — Oq� <br /> CorreCf. AUpr'OvlsionS 0/fows 6nd ordlnoncos govomin�thls lype of�vonc wi11 be.complefed � �I <br /> whethor spaci�ad horein or not. 7)ie U�entinp o!a pe�7nit �Bs not�rosume Po gnro aufhontylo <br /> vlofnlo or canco!tho prov/slons ol any ofhor stafo ar(ocal�sw regu/etinr�consfructlnn or tho . <br /> peAamence olconsl�ucfion. 17ret I am authorized by�ho ownerof�hfs property lo peAorm the <br /> urork for whlch appllcatlon fs mada and I compty wilh the S(a!u ConfraCtors Law 18.27 RCVV and <br /> 7.96.200 WAC. i <br /> '` — �o,psa,�� Co ISI IZ <br /> aturo oat <br /> yz <br />