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l'�4i20/2�1� 11:26 ZP,G2311500 _ PAGE �2/D2 <br /> ' <br /> ELECTRICAL PERMST APPL�ICA�'IpN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEUAR STREET, EV[RETT, WA 96201 <br /> 425-257-8g�0 - FAX 425-257-B857—vnrw.evereltwa.ory <br /> APP:ICATIONS ARE ACGF.PTED FROM17 8 AM TO 4 PM G va�v � <br /> — � i50�P--1��0 <br /> ;8i�"v 413C Street The E�.•� � <br /> z�ett rlintc H5�1, . r^ntier . +.. <br /> _ � �_ _. �_.. _�i�]1 . <br /> PROJECT ADpRES: � <br /> ='�:c Evere;c Clinic, 3901 Hoyt A�aence, e�eretc,� wA �t3�C,: a�5-2=,y-11c3 <br /> Owner IAail Ad�rou ��N <br /> Stata�Zip Phorc <br /> ;t�.; iverect r_iir,ic, 1800 .Ist °tceet, Ererett, kfi 9820. d25-25-1163 <br /> Tenant A;na Addiosc ��ry — <br /> Sla!o/Zip Phono <br /> Du:Ccr, r.lectric CO. Ir.C, '_2407 vu'silteu Spt�ed�.ray, Suite A-170, ' <br /> �y:�nwood F�e. 429-3g7-76pn <br /> HectriralCoNraetor �dalladyress I <br /> G�Y StnlelZip Phonn <br />� cUT?C[.cC137 $!G, 635. 00 <br /> S47ta LiCCnsg NumbCt . <br /> , contmu Pri�or Work <br /> ' .� -`�i�F��C>:GLlnaell/Jan�t gtebbin5 <br /> 206-J9:-1JbU PEN1:T � <br /> Prcposea Usc of Bui�ding — <br /> Contact Person (t�lan Revi-�w) � <br /> � Pla❑ rNview cottact: <br /> Chdd I•1r_!';��On 20G-291-1465 <br /> C�Saiption of WodC l0 09 Done: Add (11 NAc p�nel �nd i 31I �evi es to fir� �- <br /> a rri svst�rn ic_ The <br /> Froatler ❑j,d , F.verett Clinic ySB, South Flinp, 4th FloOr. ` <br /> NOTL. WIRING Iry NON-DWELLINGS IS REpUIRED 70 �� <br /> B[ IN W4CEWAYS, A1C OR AC CABLE ,O <br /> CRY OF EVERETT LOCAL SALES TAX CODE iy 3796 J�� � <br /> l hereiGy ccn�ry thel I have mad an0 ozomirad this apOGcapon enU know Uio c�me to bo fnie and E_ � So 4 - 1 l � <br /> conort NI provisions ol/ews and ordinan7,s govem�ng Ihis type ol work��l!be completed <br /> whefhe�spocyped hprr,in o�i)ct Ihe gr,�nting uf a ponnd doos no( msumo lo prvo�u7h�qty(o <br /> r.olefe ur canael fbo p�avisfons olany cfher stafo orlacal/cw mgu n�inp construe6on or fho <br /> porforrnanm pf ccns6vCb'on. Thuf 1 am xulhonrod Ly No ownnr of fA/5p�o��,ry ro vo�ro,n,mo <br /> �+rotl[/or whic'+,7pplca�ion is madc anU I comply n�rfh tllo S!a(e Conf2c.tors�aw l8.27 RCW ond <br /> ?96.200 LYqC. <br /> � �, � <br /> � ��`1,,,A�d����161/04�2Q�2�15 <br /> ,si m ,m <br /> �aro - <br />