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n�� �� �oia io:sc� rHtu� ti.F�iFitc. tnc a�4s�o�ao <br />_ • <br />E� ECTRICAL PER11011T APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE7T, W.4 98201 <br />425 257-9810 - FAX 425457-885' — www.everettwa.org <br />�on•� i�nrh place GE #20� - <br />PROJECT ADDRESS <br />�.vI1Cf <br />IA�II Adare65 <br />C�ry <br />SItll9?1P <br />p. 1 <br />�z��.��3 <br />����1��9� <br />rhu,e <br />nir� e,�.��..rA Med 1902 1�th PIaC.P Sfl�2Q? Fve�etl WA 98208 <br />Tenant Ne.l nCCrese C��ry S�nteZp �hone <br />L; �' Elec'ric 1B1 3 NE 68th St t�i21 0 Redmo 4�5-454-3665 <br />E�acViea�ConlBCtor h�auAaOres� Cty Slato2l� �'hone <br />Pridee1077DR <br />Stace Llcense Number <br />Propose7 Use cf Bwtdmg <br />1900 <br />Square fooleBe Of res dentiol now ccnstru7.or remo0el or atlG:wn) <br />(141 <br />NumDer of devlces pf �aw witage) <br />�5436 <br />Con7aQ Pnce ol Work <br />�AifrhALd�(;y�4 C'i-B81- 4491 <br />Contea Persa� ;Plnn Revlew) <br />DexdcLon ot Work to Do Dona i�Gt,u 1141 Cal 6 cables and move the cabinet from the 1st floof to the <br />2nd (loof <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J706 <br />1 here0y toitlty Mall hFlve �eed an0 oxeminod fhls appJlcabon nnd know f�o same fo De fru9 nntl <br />aorroc/ Afl pruvis�ons ofle ✓s nnd ordmnnces govamrny (l;ls lype ul viork w�n De aompiefed <br />whelho� pecified harom c� not Tho gznling ol e ry��mR does no( piosume fo yiw auUronty fo <br />v,olx!e orcancol tAo provr ions oJ nny ofher slnfa orlocel lew requloGng consfruc6on or tho <br />podormence a/consWctlon. Tl�ef / em aufhafinAny Ihe owner of (his pmpurfy ta per/oini Iha <br />wvrk lor �vLch epp�icohon la mxde nnd 1 comply wHh fho Sfefe Cor:finctors Lew 18.27 RCW end <br />286. 200 WAC <br />SgrnWre Jate <br />Nuvis�n sv�u <br />FEE <br />� Qj� � L�V <br />lD -- -- <br />PERMIT? <br />E 1311- 1�2 <br />