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May-11-09 11 :23A P'O1 <br /> � _� <br /> ELECTRICAL PEI�MIT APPLICATION <br /> CITY OF EVERETT F'ERMIT SERVICES E�o s-o5� <br /> 3200 CEOAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.evereriwa.org s-�/-0 q' <br /> APPWCATIONS ARE ACCEPTED FROM 8 AM TU 4 PM <br /> 1/S�� i4/��KT �1�: _ <br /> PROJECTADDRESS <br /> s�lA2Lc.r,c� l�w�fTl'.�Ir�l _ <br /> Ownei h�al Address Ci�y . StaleRip Phme <br /> �iJ�h.�l..........___.._._..._ / 5 / Y. .�'`� <br /> 7et�ar�l Mail PACms Cih StatWLp Phaw <br /> y�s <br /> F1'i-�!ItiOk'� sF..s 3�0� F1�..�v_.-..- �.1/- 9'G'am , zsy z�G� <br /> Elactriwl Contractor Mall Addraee Clry Sbte�Zip Phone <br /> Ei1.+4Nss/Y 2 L N — <br /> State licaense Num4or � ConUact Price ol WoAc <br /> Proposecl U�o Building ConLM.Y Peraon (Plen Review) <br /> Descnptlon of Work 10 Bc Uune� 1��[V�if� ��.�� ����L _._,,,,,_,_..— <br /> NOTE: WIRING IN NON-DW ELLINGS IS RE4IUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �/ �d � <br /> J <br /> CITY OF EVERETT LOCAL SALE9 TA%CODE IS 0105 <br /> I he.^+y cr.rtity thai I havo renA and exnmined Mis applicafton ancl Anow tbe same lo De We end <br /> co`rec. AR prov;sions ollaws and adinance.�goveming th�s type a'work wiN bs compfefed <br /> whe(her speGlleC hereln ur no1. The yrenBna of e permrt does not�rosume M plve aufAairy�Io <br /> violafe or cancel tAe provisions ol eny other 3fate w locel law rr�yuleG'ng consbucYion a fho <br /> �peAomrance o/const,^uction. Thef I artt authodzeC by t!re owner�I d�ls proparty to peAam tho <br /> work for which applicafion is�nade ar>d!conrply wph the S'fete ConDacl�Lew 18.27 RCW enA <br /> � 296.IOO WAC. <br /> �� _. ���.. ���- D L s� <br /> ._._ . s� �e �� o <br /> .__.. _ � <br />