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08l05!2011 12:20 25347588(86 IDEAL SERVICES INC PAGE 06/07 <br /> \ � <br /> I ;�p�J � 31 ZSVS I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE.TT. NVA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org ��.` I� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM �"Q Q_OJ S' <br /> 0 <br /> t , R 2S A,.(LA�r(fi Re�ttD i l�✓e�} <br /> PROJECT ADDRESS <br /> i `� -�l�e�`l —..���L'. <br /> Owner Mail Atl0�e55 Gty Stater[ip Phorie <br /> � �- c�����,� �ixvv��. t-PZS—�-138-$381 <br /> Ten2nl MailA4dr�ys Ciry StalerL�p P�one <br /> <10 el�Ser vi r_e� t n� � s i r3 Pr�c� F�c. k-{�w�1 ��s� ��3,^ r=� F �c_��� 1 b42�f <br /> Electncal Conhactor Mafl Oress C�ly StaeelLp Phone <br /> �S3-•�{�S-f3S8`{ <br /> J.O�c_S,yr�! i ,Jo"Z i�O<� <br /> State LicenSe Number Cont.act Price ot Work <br /> ���� �-�e��I� <br /> Pmposed Use of Buiking Contacl PersOn (Plan Re ew) <br /> Description of Work to Be Done� L� l C l � � (����1 �,11�1 � ln 7 �i ��.�—� ��2L� <br /> l.lL�bl,� (� I 1.h�+�e.0 <br /> NOTE WiRING IN NON•DWELLINGS IS RE4UIRED TO FEE <br /> BE IN RACE`.NAYS. MC OR AC CABLE. <br /> CITY OF EVERETT LOCqL SALES TAX CODE IS 310b <br /> 1 he2Dy certi(y that!have rea0 and examined tbis application antl know tho same to be hue antl <br /> conec! All prrowsions o1/aws and ordrnancss goveming fhis typs of work will be comp/eted <br /> whethe�speafied herain nr not. 77ie graofing of a Aermrt tloes not resume io qive aothonty to <br /> violete or cancel me provisions oi any other state or laal law regu�ting constrochon o�the � <br /> peNo�mance ofCo�rStruchon. ThBf I am autholrzed by the Owner of thr5 property to pe�orm tht � <br /> wo�k for v�h�Ch a ication is metle end I compty with tne Slafe ConUactors Lew 18.27 RCW and (� <br /> 296200 WAC. F O� <br /> I ! � 1 <br /> 5� l l L <br /> S n ure Dete <br /> JCk-mea '`7��.rc.c�� <br />