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SEP-U7-�0�8 19:32 From: To:2578857 Pa3e:1�1 <br /> i <br /> t <br /> � ELECTRICAL PERMIT' APPLICATION <br /> C�TY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.c;verettwa.org <br /> APPLICATIONS ARE ACCEPT�:O FROM 8 AM 70 4 PM <br /> 1p300 C�I-e�1c,�Ooc� �, <br /> PROJECT ADDRESS � � <br /> ��(1.�' <br /> 0`ti' B� Matl/Wdross City StalelZfp Phone <br /> �',�n1a �. 030o rI �, /} n� �z�_ <br /> Tonant ' {enl���'� � PfQ���� 7��LL7 �rJ � 27 <br /> Mail Ad ress Clly Stale2ip Phona <br /> -S���f►-al P�.�;�, aa.zr Cc�lc�t,��t.caS�` '��s <br /> �ve,�'�P�-� I,UI� aBZo) �R�(�5 <br /> EIaClricalContraC�of ' h7aitAddrass Gty Stat¢21p pry� <br /> �N=T� �����7 � 5,y05 <br /> Stato License Number „ Contrnct Price of Work <br /> K2�"1 �toZ.)D,�-�e�--- <br /> Proppsod Use of Buildinfl Contact Pereon (Plan Review) <br /> DoscripUon o!Work lo Bo Done: _{�,J� V Q 17�� ��Wu �' �/ ��J 5N , ' <br /> � <br /> 1 _on-I-v�o � ; q cQ�,v;c� <br /> NO7E: WIRING IN NON-DWEI.LINC�S IS REQUIRED TO �E <br /> BE IN R,4CEWAYS, ti1C OR AC CABLE. <br /> CITY OF EVEREIT LOCAL SAIES TNC COUE IS 3105 ��SJ� _ � �jO <br /> I hem6y co�tily tJ�at!havo read ond exarnlned fhis opplication ond knoiv fhe snmo to bo truo end <br /> corroc(, Al!provlsions o(laws and ordinancos govammg this type ol work�+iq ba compfefed <br /> whether specifiod hcroin or not ��ho granting of a permif doos nof proSURIC f0 9ivp pUthOfi'Y 10 <br /> violafo orconcel ihe pmvisions of any other stofe orloeallaw rt�guleting construr.hon�r}he <br /> podomianco of constructian. That 1 am authorized 6y fhe owner of thls�moerty to peAwm fho <br /> �rork for w Ich appllcatlon Is made nnd I campty wlth fhe Slate Conlracto:s Lnw 18.27 RCW and <br /> 296.200 C. <br /> `�/V � // <br /> rc oaio �(1 / <br /> 1��9-0.�2 �Gl� �C.k.t.' � g 'iV� Pf�iCQ 6f �/1� ��� <br /> i yZS- �ll� -�S'7d' . <br />