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OBi08i2010 07:SJ FAT 42535389J4 Ecerereen SecurltS <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />o��-I W�D r� �}►--� <br />PROJECT ADDRESS <br />� <br />Owncr <br />Mpil Addro6c <br />�, <br />Cly <br />�002 <br />� _.8 --rD <br />[_�Oo6 -a�Z <br />�,,r% ' � s 2� I <br />State2lp Phone <br />�1�N f � '—_ <br />Ten2nt MailAaAf0s5 Clry Stafe2ip �n� Phona <br />Eledrical <br />Mall <br />�ri'v�sl1 la �-a <br />State Llcense Number <br />(�cGC./ <br />Propoced Use of Bullding <br />(�� �� � <br />��y <br />Stale2�p P�one <br />� `0l0 30 . °�° <br />Caniract Price of�, W))ork <br />�1`i- f�N O? <br />Contact Person�(Plen Review) <br />Descrip�ivn ot Work to Be Done: _ �i �� `�1QIi. � C'i� ���1 "�-7 � v`^''"�"" �"�_ <br />UV��'�j�I�tC� SOI� l�/!CC`� <br />NOTE: WIRING IN NON-DWELIINGS IS REQUIRED TO <br />�[ IN RACGWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALGS TAX CODE IS J105 <br />fhaf I have read and examined (his applicnfion anAkrruw flre seme fo De true and <br />�vl5ion5 tllaWs and Ordinances govam�ng Ihis type ol work will bn complefed <br />ed he/ein ornot Tho granfing ol a permrt does not presume fo give authority to <br />31 the provisions ol any ofher stnte or local lnw regul&Iinp ConSINclion or tAe <br />� cpnStNC6on. Thaf I xm authonzaJ Gy Me owne� ol this propORy tD peKOrti7 1h0 <br />applica�lon is mad0 and I comply wil� (he .(ate Confractors Lew 7827 RCW and <br />��D <br />FEE <br />