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RUG-cl-2012 01:15P FROM:DRHL EL«TRIC-EVERET 425-252-2999 <br />I <br />'0:4252573857 P.1�1 <br />ELECTRICAL PERMIT APPL`�ATION <br />CITY OF EVERETT PERMIT SERVICES �_a �-i Z <br />425-257-8810 DA FAX 425-257 8857 - www.eve?ettwa.org �; l 20�- � d Z <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />3�1 D 9 M� dok�..v+�� Av�= ,<SGc ��-� �a <br />PROJECT ADDRESS <br />G-L�cc�.2 1°,eo►�wen�s 3tio9 Mc�uc�u.� q�k Ev�eEr� !.✓� 98.?0! <br />Ownef MallAddress Clty ' Stala2lp Phono <br />hl t� <br />Ten2nt <br />r Au� Ec <br />Eleclrlcol Contraclor <br />�/�H�EEI 91�4�p <br />Slate Liconso Numbor <br />�FfICE �L��- <br />Proposod Use of Bullding <br />Mall Addross <br />Mall Address <br />Clty <br />Clty <br />Doscriplian of Work to Bo Dono: RE ' LfK.{'iT°L � C I�L(A-l'�'� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />SwtofGlp <br />- w�r 9Q�bi <br />Stala/Zlp <br />�G�D.� <br />Contmct P�ico of Work <br />Con�ocl Porson (Plan Rovlaw) <br />1 heroby certll � thef 1 Imvo road ond oxarnlnod fhls oppllcaflon end know fhe samo fo be fruo ond <br />corroct. All pi �vlslons of faws and ordlnences goveming thls lype o( work wlll be comploled <br />trhothor spocl!]od horo/n or not. Tho gronfing of a pormd doos notP rosumo fo glvo aufhorltylo <br />vlola(aorcencelffio provlslonsolenyollierstefoorlocallawregu/etingconstructlonorfha <br />psrfomiance o/consiructlon. That 1 em eufhorized by the owner o/ff�ls proparty to pe�form tho <br />�vork lor �v,hlch applfcetfon Is mado and 1 comply wlfh fho Stato Confracfors Law 18.27 RC W and <br />FEE <br />� �� <br />Fhona <br />-�?i7-1� o, <br />- : h� :� <br />�l Zo8 - I �� <br />