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SO�15i2012 1J:Z9 r'e� 42:?s�APS4 Ererereen Security �002 <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY C�F EVERETT PERMIT SERVICES �5 -i Z <br /> 3200 C[DAR STREET, EVERETT, WA 98201 I D� <br /> 425-257-8810 - FAX425-257-8857—www•everettwa.org ���}����d`j <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> d <br /> PROJECT ADDRESS � � D <br /> Owner n+yl nenbss c�ry staterzi S �-a���J`i <br /> — k0��(1 `I�. 8l l.� �n��, �BZF�ID <br /> Tenant MailA0tlm66 G�ry 5��"7'j�/j�Cj��g/-�'y� <br /> � �, o v� � ,��,v��� l <br /> �'l l�l Cv V�L/1 ���M�/ <br /> [IeQnCai C lraclor Mail A ss Ciry SW�CrL�p Phone <br /> ���a�"a�� Con�Price of Work _r <br /> Sta e License Number <br /> Q�'Yl►�'1�z.�'�L� , Q�,�,t-rx,L� YYlwr�-�� <br /> Proposed Use of Huilafnq Contad Person (Plan Rev�ew) <br /> Desaiption ot Wodc to Be�nne� �.��� � `-� ' ` � - <br /> �•{\��'W S � � �J�,t� I-Y�I' Ar�'l�� S3 �-i� �� 1 Yl 9r <br /> Q�ll��m . <br /> NOTE: WIRING IN NON•DVJELLINGS IS REQUIRED TO �E � <br /> BE IN RACEWAYS, MC OR nC CA9LE. r O <br /> �� <br /> CITY OF EVERF7T I.00AL SALES TAX CODE IS 3105 <br /> �hernny r.endy mar I heve read and examined fnis application end know fhe same fo Oe frue and �I� �!'�, I il( <br /> c�rrocL itll prv�s��ns oflews end urrlinances gowmrng fh�s type o(worir will be cromplefed U l �J}O <br /> whether spocrl�od Iruro�n or nol. Tlre grrmtin9 oI a permrt does not Aresume ro give authority fo <br /> VIOIB�P Of CLl1CCI INC pro�sons of any otner sfate o.locnl ro�v roguiaBn.v�nstruction or�ne <br /> podonnen�w o/constrvc(rort Thal!am au(honzed.by Me awner o(this proporty to poAorm fhe <br /> work Por w' - plicafion is made and I cOrtlply w�th fM StBfe COnU2ttors Law 1817 RGW end <br /> 29610 AC. <br /> � 1 ��� l �. <br /> „pnamre Date <br />