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Ma r. 29. 2011 8:48AM No. 7191 P. 2/2 <br /> —� t <br /> ELECTRICAL PERMIT �►PPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 88201 <br /> 425-257-8810 - FAX 425-267-8857—www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TD 4 PM ? _��// <br /> J <br /> �i/a 3 /( g <br /> 1 I I o a �ve�r rQ,e.v� w�. q �.2 0 � <br /> PROJECT ADDRES� <br /> Cu�uvri►yi� S�a..�e 8o,r�I 5�1(� `i�l�'' ST W, Lw12.ewuo� W�i �a�I °► �j — <br /> OWfte� MeilAddress City StetelZip Phone <br /> Culuv�l�i� ►''�.�n�. ►��u� EvQ.��Y�.r `� �`1 �v�Y�,�� w w �6 Z�'�_ <br /> Tenent MallAddre6s Clry slalslZp Phone <br /> 1'�u�ne �le.o�-r�c. lly�'i 5�"�►' �' {�,��.1�1�,,.A W !� ��3 �N8 (n91$ <br /> EleclrlC21 ContraCfor Mafl Addrosa ity SldlelZlp Phone <br /> 6nnhEEc9s� 6v►� � 5�� , o0 <br /> Slata License Numher ConUact Price of Work <br /> 3��1c � rn�,�� Pu�..��osk,'� <br /> Proposed Use of ouilding CanleCt Person (Plan Rev:eWj <br /> Descripllon oF Work to Be Dona: .�' 15C h't�l CGT ��I$T1 Vl4 �.OD� TD P I�lV1�l" �n.v� W <br /> C-�— c o h�n�.�.'� Naw Ru� `��p U,h i �' o� '��ne �rn2 't�}��.� <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BF IN RACEWAYS, MC OR AC CABLE. <br /> S7 �� <br /> CITY OF EVERETT LOCAL SALES 7A%CODE IS 3106 <br /> 1 hereby cortily fhaf 1 have read and examined fhis application and know the same to be hue end <br /> comecf. All pmvislons o/laws and ordinances povoming this type of workWill be completed <br /> whefher specilled Ner�in ornot. Tha grontiny o/a pennif does not iasuma(o give aufhonty to � <br /> violate or cancel the�rovlslons ol eny otherstete e�locellaw reguPfing ppnst�ucfion or the <br /> porfamance ol cons ructran. Thef I em eutho�ized by the o�vner oI thls property to perform fhe <br /> work Ior t;hich application is mede and!comply wilh 1he Slete Contrec(ore Lew 18.27 RCW and � � <br /> 2ss.so�wnc. �� D3 — <br /> ��, �,.,�, �..� oslzq�zo,� <br /> SignaWm Dp e <br />