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12/01/2008 07;13 4254885288 PAGE 02/02 <br /> � ( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 ���� <br /> 425-257-8810 - FAX425-257-8857—www.e�eretlwa.org �Z " <br /> �'p ��2-� 3 <br /> APPI.ICATIONS ARE ACCEPTED FROM 8 AM TO�PM <br /> 11 G�, <br /> 14�°L �Ili �'VE <br /> � <br /> PitOJLCT ADDRHSS <br /> Ow�er fdall Addrou Gly Statcli�p PAonc <br /> �L� <br /> ?iA�►U- DF A�-tLh- I�OOL t�a�wTi M �ee+�T 4$��Y .7ss- ;w/E <br /> T8nan1 M�II Atltlre.s Clry State2lp Phonc <br /> Z 53 <br /> A� �ua�Lryc� 5+���c.G� 11i1LY �=• CP.c�Puv f ti�thT icj7kx k�h� f�flG7/ 3'��-�Ib� <br /> Electncal Contractor Mall ntldress City Stata2lp Phooe <br /> l�k+7\��YyL13�ZUS �GM� � <br /> Stete License Number Cantrad Price of Work <br /> (7lMi �L.X ZS�i-B}�''1IIe� <br /> Proposed Use oi Bulltling Contact Person (Plan Review) <br /> Description of Wark to Be Done: �D Z fri SA�JG +�r.'Ztt�1H q/S�'� �Z 06Y�[�� <br /> NOTE: WIRING IN NON•�WELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> !hereby certify that I heve iead and axamined fhls eppllcation arrd know the seme to 4e Wo and <br /> correct. A/l provisions uf laws t+nd ordu�anres govemi�Q th/s rype oiwork will be completed <br /> irhefher spoc��ied hcrein or not. The grannrg of a perm7f dOBs not rasumB to givE 6udlOdty to <br /> violete ercancel tho provisions ot sny ofher state orlocal law reguPating consfrue6co orlhe <br /> perlormarce of cons�rochon. That 1 am aufho�zed by the ownero(tbis property ro peAorm Ne <br /> woik for whiGh applic2frop iS mado and I Comply wifh fhe StaM ConfrdctOB Law 18 27 RCW elftl <br /> 296.200 WAC. <br /> � ��Z �t-/ —!1� <br /> S�gnatur'�""��-`�'�' Uate <br />