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• <br /> MAY-09-06 08:17AM1 FROM!-DW Close Company 206-242-2299 T-857 P 001/001 F-661 <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.everettwa.orggo 61 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 6o 5--v <br /> 3000 R.,=, s Et-te=n AleU <br /> PROJE.'::T ADDRESS <br /> `S. NONOMtSH COvt.11'Li <br /> 3006t2e _r=�-u� Ava r'-t L�j 4t o 4. r e.e.L I 1/AS 20 I <br /> Ownor. 1 f Mail Address City Statnf?ip Phone <br /> ' <br /> Wv� r t_i�r-'lL� i f} �ON PVLLC) <br /> Tenant Mail Addre35 Cir, Statn/Zip ctst 6E, Phne <br /> )t1 JcbEC. 4-3o4 5312-n4 3l s t Pt_. SeMVL (J76k <br /> Electrical Contractor Mail Addie!..; City State/7.,p Phone <br /> T 2. 1 S06 -S5 f)v-,3 <br /> State License Number Contract Prime of Work <br /> t G _ r-a oras` <br /> Prr:pased Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Cone: w I R.1. 1 l - moi,d0 C� 1 <br /> ")b E 6(0 2- <br /> NOTE. WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> RE IN RACEWAYS, MC OR AC CABLE. CL <br /> CITY OF EVERETT LOCAL SALES TAX COOL IS 3105 <br /> I hereby certify that I have mad and examined this application and know the same to be!nm and <br /> correct. All provisions of laws and om7nancos governing this type of work will be completed <br /> H bother specified herein or not. The granting of a permit does not resume to givo authority to <br /> violate or cancel the protons of any other state or tor�Hos 7�gu construction or the /J L <br /> performance of constnrc on. That I am uuthom, d y the ortnor of this roperty to porlorm the <br /> work for which eipplicatir his modo and I c .T w;th Elm <br /> :96.200 WAC. ��Y'Stato Contract•rs Lain 18.27'RCM and <br /> 1gnaturo - Date <br /> I / <br /> 24.2 - 005- P c(�-ISL ASAG <br /> 20/ <br /> Lk) UeM C-71 IT C LQ 4k- <br />