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Fram: 09/^� '2011 08:20 �512 P.001/001 <br /> ------ --- - --- - __ —� <br /> ELECTRICAL PER11iIIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 y',�a a `-'�I <br /> 425-257-8810 - fAX 425-257-8857 -www.everetiwa.org <br /> � I�o9-- i3� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> , <br /> ��l) a(� � c�.�j e, ' �,� _ 0���1� <br /> PROJECT ADDRESS <br /> Owner Mnll AAdrnsn C�ly _- Slnln/Zip rno��e <br /> ��Q ct 1�An� � ��Q��1D i(� 5 t J � �.�n.re.� (..)f� �1`� � <br /> Tone Msd ndtlress Clty Slale/Zip Phorw <br /> ( as3) <br /> G��(,�, I 7-�c 6, Ra��,f i:e�s 19G� �'e "`� fl�� h'e�� WA 437 9'€9s <br /> GlecincelConhaGtor MailAAdrenn City Slate2ip Phone <br /> �1C2�.h�Jr3 `� � �1 C�`� !�.�� o c� <br /> State Llcense Number Contract Price of Wurk <br /> � � % / � �1 I �`_''�� � �i����. <br /> _�{Z'Yl F.� i G�� � , ! _ <br /> Proposed Use ot[iuHding Contact Porson �Plan Review) <br /> Descrlption of Work lo E3e Done ���°��2�`�I`�•��� `� ����'` ����'�`� � --- <br /> � �o� T� r' c.��1 e. �ro( )��l S 2.r.. �J l���. �P�,.t�E;�— <br /> �� <br /> I NOTE WIRING IN NON-DWELLINGS IS RF�UIRED TO FEE <br /> [3[ IN RACEWAYS, MC OR AC CARLE. �� <br /> I CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br /> I IrereAy ceNdy fha�I Irnv�read anh evmnnred fh�s nppL_phon nnd hnow f/re samn lo bU buo nntl <br /> � conocf. AlI provisions of lews and ordmances ywumm�fh�5 typn ol work wdl Aa complafed <br /> j wholhor specdied herain o�not The grarrtmg ol n pannrf daes nof presume to prve auNionfy fo <br /> v�olafe or cemce/fhe provivorrs o!nny ofhor sfete or local lew rvyulahng consG-uehon rn fhe <br /> peilomience ol consliucGon lhaf�om autho�ned by fhe owner o!fhis rroperty te Fa�onri fqe <br /> �rork !or wh�ch epphcahon is made nr�tl I r.nmply wifh tlrn ^Iqfe ^onfracfors Law 18.J RCIM1'end Qi q <br /> 296 200 WA ' \ r I' O / / h <br /> {� J <br /> � �/� .�-'�� �� � � �� � � � —' li <br /> , -� Ignalure �--J ele <br /> I� �'�l� �^,.� _�- ��i �_ � � ''�^� c � � r���� �fi ' s -�3� - � s- <br /> �, �y <br /> �h ��� ��G���'71P �A7L � <br />