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� N <br /> �^?% ' - <br />�,.�.� �• SEP-29-2a10 23:55 From: To:2578857 Paee:l�l <br />'� � <br /> �,��c _ <br /> � � � � . . � (p•����! .. <br /> � r a� .'..�-. xs tfn1� <br /> t =�� ELECTRICAL PERMIT APPLICATION �- _ �� <br />: ,�.. ' { ,"tys':�;� <br />~�� u �ITY OF EV�FtETT PERMIT SERVICES ��;;����•' <br /> '��'� ,�� 3200 CEDAR STREET, EVERETT, WA 98201 � <br /> ~��,, � 425-257-8610 - FAX 425-257-8857 —www.everetlwa.org <br /> " ^�� APPLICA710NS ARE ACCEP7ED FROM 8 AM TO 4 PM <br /> k'N��l'.t. � � _., <br /> y�. :"r3a.� '_ :G <br /> a� �� <br /> ,��,� : � . ' \� <br /> n R �`W�+."' ., '�w'l�\ +. <br />� k� 151� - �I fS�f�S-h'C��' , �; ;,;`j <br /> � �y ,,,�r''��' <br /> '�„�'` PROJECT ADDRESS I '" '�;'' I <br /> vv���� <br /> y � . ,ii �..Ji <br />^.� ,Y,y <br /> d�a, . ' I � '.. <br /> i <br /> QWnCf hddil Address Gty St31C/Zip � Phono <br />����r � �� � t`� <br /> � ;�`; �K ra���l� 5�i1/1�t.Q� ��(' 1��-7/�Q � ; <br /> ,�::�.. . � ,���;,� � <br /> , _ , . 7CnaN A1ai1 AdtlrLss City SlalelZip Phone �-���_�M1:, <br /> �if,�,1.: <br />� �� : ��,�ro� �r��;� aa� � �'��.c�ern.� �iP�P�- w� �i�20► �� -� 36.�_ '�� ' ����� ', <br /> ..� <br /> � �, , ,__ <br /> �a�. <br /> '� +�;�- . � �leclricai Contraelur M�ii Add�:sc City S�ataiZiO P�one � t" � <br />`�.��,�� �� 7 So��r P �c 9��� � � �, � �d ��� `"��,�� � ��, <br /> �,r � <br /> 1; y � i <br /> +� State License Number Conlrar.l Price of Wark � ��.��.`�,���}} ;, <br />� ' �. . . � ' ��n Sh�cti�-4� '��; <br /> � '�' Icu�ern ;,� y <br /> " r�;� Proposcd Use of BuIldlny Cont�ct Person (Plan Reviow) ;;�;;y <br /> Ay` ' .L.. , ^:`�34 <br /> ,} ..r' �`' . I '�'!`fi7����,� <br /> � \ 1� <br />� aR�y o n <br />� +4�'� D � �P�,Ur'r�-� 5�1`�11� <br /> r"��,r ' i Description ot Work lo Be Done: ��,�,J _� ,�:�'{'�l <br />`� �� — r , '� <br /> r p�*y,� � � , '� p � <br /> �. , `f. <br /> , rrt'� <br /> ' � � Cov�.�"a l d-�U���S� � r=� '��' � <br /> .. . .. I <br /> NO7E: W�RING IN NON-DWE�LINGS IS REQUIRED TO FEE �>• � <br /> BE IN RACEWAYS, MC OR AC CABLE. i� `' <br /> �''. <br /> x' ..� „i,^�:�� � ' CITY OF EVERETT LOCAL SALES 7AX CODE IS 9105 <br /> ,^Wer±�.-.n i <br />�i•-.,x;, i I hereby certily fhat 1 have read and exam(ned fhis epp6�ation and know tl;e same to be(rue and <br /> :�:�., � i eorrect. �fl pruvisions ol laws and ordlnances po��zrning Lhis lypv of work will 4e compfetad __ <br />�� �i; wheUier specifiAH heiein oi r �t rho granNng oI a permd doos not resumo to yivo auihorily to <br /> ,7. i violafe or can��. fhe provisior�s o(any o�her s(ate or locol fow reguPfing construction or the <br /> „ poAormance c construc�ion. 'fhat I am authonzed by the nwner ol�hls properfy fo perlorm fha 4 � +�� ' <br /> wnrk!or whleh application is mado and I cornp/y with fhe Sfate Contrp�tors Law 18.27 RCLN and <br />� '�°'' ��� 296.2 WAC. � ,j�,�� <br /> � ' �iU <br />�� �; � �� ��a.C.�-��- �o �O ' <br /> �yy. . � <br /> @�;� ;,�, , <br /> �]S]_,�� � Ih <br />���SPM� ., � _ —_ <br /> , ; ����� �zS 9�7 1 5'� �� �� ` ��� '� , <br />�. ,».�; .+ _a i <br /> � �,a�� �� , � �ii;�� . <br /> � <br /> ,�" � � ��•1�..�,f- Clft'10U�' �Ci,�t.�.9��jt, j ; << <br /> . � <br /> , <br /> � �;� i <br />. _--- ._.. ..._.... _ ._. .__. . _ -----____--------- ------- , . <br /> � t' �. <br /> ��ii`.f. i-,��. <br /> .-, ti p ��"i;:��ii7 <br /> .,:., <br /> . . . . .. '�.;���w �n..io .m^: �c�w.�^+, � � �. � �S��{y <br /> r �xl-'ql `t. •,. m;;_ 4���� � . <br /> ... '�;�-1 v. '1q� y �}.��x'�•,� �l�U�.. t ; <br /> . . _ _ .__ _ �,— _Ya_ M _. <br />