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May-11-09 11 : 23A� - P.02 <br /> `� <br /> ELECTRICAL PEftMIT APPLICATION <br /> �ITY OF EVERETT F'ERMIT SERVIC�S <br /> 3200 CEDAR STREET, 15VEREl7, WA 98201 � Og0 S-O 5rJ <br /> 425-257-8810 - FAX 425•257-8857-www.everellwa.orq 5 _�� „� c� <br /> APPI.ICATIONS ARE ACCEPtED FROM 0 AM TO 4 PM <br /> //S /�' /4-//L/�OK•!' � _ <br /> PROJECTADDRESS <br /> �A�'�t�ti Gin�n fr I1A✓� �� <br /> pyy�g� MaAAddress City SWIe/X�p Mwne <br /> (r L f�1n fi //S/1 --.--_. .�'� 4 <br /> Tenanl MailAddress CitY Slplsq.ip (�3/� f'ho�e <br /> / 1 <br /> .1�Y�h�trla�._..Sl� .. .__j1a�L.�---�----�ii yf7oi ?S9 z/kl <br /> EleCirical COntracwr INall Addross Clty SWle/Zlp �� �hcNw <br /> �/�'Y JS�Z � e <br /> State 4ico�se Nurnber � Contract Price o(WoAc <br /> SFiZ _._ <br /> Proposod Use of Buildinp CoMact Person (Plan lieviaw) <br /> DescriGUon of WUAc lo Be D�me: IC�n�`I�C �L.�c7' /° �.1. __,_r <br /> NOTE: WIRING IN NON•DWELIINGS IS RE�UIRED TO FEE <br /> 9E IN RACEWAYS, MC OR AC CABLE. �/ a_ <br /> S <br /> CITY OF EVERE77 LOCAL SALES TAX CODB IS 9105 � <br /> !he�eay cnrti/y thaP l h�ve renA and exemined fhls epplkdfion und know the mme to De tnre and <br /> conacL AI!provialons o(lews enQ oroin�nces p�veminy this type o�wai�will 6e comp�eted �. <br /> wheMc�r speaheAflereln or noL The y�antiny o a Perm�t does ncN presume fo gAre eNhaity to ., <br /> violafo or cancof the rovisrons oI any ofher sfate br Ixel law rryule��ing conshucGon or fhe ���. <br /> peAomiance ol consPniction. Thaf!am euthoqzed uy the ownnr o!tws propsrty$o peA�mi the '�, <br /> 296100 WA�applrcafion is m�cle ar�d!comply wllh INe Sfefe Ccvi6xe(rrs Lew 8.27 CW aa+A �. <br /> S i�//�v /_ �57 <br /> —.._ _".._._..`.._.. DT� � <br /> aW /J O <br /> l// <br />