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04/2F�2009 11:05 4252277585 HOLr£5 PAGE 02/B3 <br /> ( 1 <br /> �LECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 G b5 D �—� �rJ <br /> a25-257-8810 - FAX 425-257-6857 —www.evereHwa.org <br /> 4 ..a-o-oq <br /> APf'UCATIONS ARE ACCEP'I'ED FROM 8 AM TO 4 PM <br /> /,�i� �4�sou�r�,� R�r!A <br /> PROJECTADDRESS <br /> C�/�r/�l�I�s�,P�Qdi�v�tJ ��/ SSoc��TtOl�U,�_ �Uf��_�✓�"�" 7a- <br /> OwnOr Mall Addnne Cly SlelefL+'p Phone <br /> Tenant Mall Addr�n� C�ty SdM/Zip Pnons <br /> f101r�t t 5 ��fr i,PIC /,D� G/ it�.vSlv.�.�ji�S • �CE�✓i� �s.��.?y� <br /> �EledtlCalContrac�nr MeilAtltlreei Cuy St�la/Zip Phon� <br /> l�o�.�,t',r' S`/9 a�f' L� ��(� <br /> tate Llcenee Num�er Contratt Price ol Wo•Ic <br /> �am /,��� <br /> Propoeed Use�f Dulidinp Conteq araon (Plan Revlew) <br /> ��PcSCi <br /> Descnptlon of Workto Bo Dane. �� �p��_�IL1� ������� <br /> NOTE• WIRING IN NON DWELLINGS IS REQUIRED 70 F�E ' <br /> [iE IN RAGEWAYS, MC OR AC CABLE. //, �rJ� V � <br /> � J <br /> CITY PF EVERE7T LOCAL SALES 7AX COOE IS�105 <br /> I hore6y caRiry fhef 1 bave roed end eram�netl fhls applrcafion end know ihe same fo be trve antl �O�y— J^�(� <br /> cunoct All provislons oJqws and oronrancr.s povem�ng fhin!yFe of work will be cromplofud ��Q T <br /> whoUrvr spoci6ed h9igin 0�not rhe gr,�ntrng ol P pBrmit doas cof pRJumu to qive BuflrOhfy fo <br /> Vi018(!0/CBnCo�(hB p/OV13/ona�ol any ofho�sfale orlotallau m;�uP(Ill�conrtrvctinn or the <br /> perfvrmence o/construc2lon. Tha��am nutha�zad by the owne� o tbi property fo peAor1n fhe <br /> wpr!�lor whir,h npplicafion is matle end I cemply w�th fhe Stetn C�nhacfore Lew 18 27 RCW antl <br /> 298.200 WAC <br /> y-�D -D°J <br /> - , .�,a —�,�. <br />