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MRY-17-2005 07:39 FROM: <br />j[1:14252578857 P.4 <br />l <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.everetMra.org <br />MPLICATIONS ARE ACCEPTED FROM S AM TO 1 PM - DEBIT 8 CREDIT CARDB ARE NOT ACCEPTED <br />L��Z C�g� <br />PROJECT ADDRESS <br />L, <br />Owner <br />Tenent <br />� <br />Sf� <br />M�I� Add,au <br />Mall Addisse <br />2� <br />Electdcel Conhedor � Mdl Addiesa <br />� ,Sf-J'E �j,G.i� <br />Gy <br />Gty <br />hQy���/ �t �Y� �t1 <br />✓� '� <br />ciy <br />Z� <br />9�� 3 4 0� <br />su�emo Pnon• <br />SIa1sILp Phane <br />Za� Z8 z- y,^�t� <br />81ale2lp Phar <br />c��sH �Esq� � 00 �sa, _ <br />Stete license Number Contrect PAee of Work <br />J' �2 (.thd4'T1�1�2N�w�'� <br />ProposeO Uee ol Bullding Conler,l Per on (Plan Revlew) <br />�'ZrTto 32�� <br />Deecdplion of Work b Be Done: TO D� n� i� a►h P G� rc �� f a�(o r/ <br />NOTE: WIRING IN P10N-DV�ELLINOS IS REOUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL 8ALE8 TAI( COOE I! 3105 <br />1 herpby ceAr/y fLef I have med end eremined fbis epplica�lon enA <br />correcf. All provlslons ollaws end ordinances goveminp fhls type <br />wbether specl!!ed herein or no( The prenNng ol e pe�mil does nof <br />violate or cencel fhe rovlslons ol any ofhe� alete or local lew regu <br />paAormance o/ consPrudion. Thef I em eufhoHxed by the owner ci <br />work lor whlch eppliceflon Is mede end 1 tomply wlth fhe Sfefe Co� <br />296 200 WAC. <br />FEE <br />end <br />le <br />end <br />�( � ��a� <br />ole '— <br />�505 <br />