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Jun-27-11 10:13A <br />ELECTRICAL PEI�MIT APPLICATION <br />CITY OF EVERET7 f�ERMIT SERVICES <br />3200 C�DAR STREET, EVERETT, WA 98201 <br />425-257-t3B10 - FAX 425-267-8057 - vnvw.everetiwa.ory <br />pPPLICATIONS ARE ACCEi'TE-D fROM 8 AM TJ 4 PM <br />�> 8 - - .--- <br />PRUJ[CT ADDRESS <br />P.O1 <br />. �=��-L�l�+�.c �S� B�vs/� �Y� /J cr��j 96� o ? _ / � 9 / <br />OwnFi Mall Addross Clry Sla�e%7-ip„ Phone <br />Tc+nant <br />A1311 Ad�ress <br />Cily <br />Slala/Zlp <br />Fhone <br />�S'�A�1/1�� f, .S 1l o � fi��.�%�L..�� S��s._S z' <br />� ��..-- <br />EleClflC21 COnlracWr Mail Addreca Gty S1aIp/Zlp Phono <br />���t �vs l 1 c <br />State Liconse Number <br />T �� <br />ProFwse UsN ol F7uildinEt <br />i�IC]'liR� eF ���, <br />Contract Prir.e of WurA <br />Contacl Person (Plan Rr.vir.w) <br />Ocscnptlnn nI Wurk Io �o Donn� /�U ��.S�F_�L��_�/�f ��%iIBL�� �� �_ . <br />NO�E. WIRING IN NON-DWELLINGS IS REQUIR�D TO <br />BE IN RACEVJAYS, MC OR F.0 CABLE. <br />CITY OF EVERETT LOCAL SALES TA% CODE IS �705 <br />1 hcreby caiilly (h?I I have renJ eni� <br />roriact. A71 Provisions o/ (aws and c <br />whalh�r spor.ilied hereln or nut. Thi <br />vralafo or cunce/ ih� /irovisions u! ei <br />pe�f�nmance o! cons(rucfion. That I <br />work Icr nhlch y�pli �afiun is me�do . <br />29G?00 WAC. / % i. <br />fhls <br />ccmply, <br />nnd know fho snme to be duo anA <br />yp� nf w-ork will bo wnipletnd <br />; nr.t uirsurno to grvu authonly Iu <br />�egumllrrp cort5fruc0on or (He <br />er ol tlus pioperty fo per/orrtt !he <br />� Coi Gnctors Law 18.27 RCW and <br />l,'t./ ��1 � � <br />FEE � <br />�j! oc�, - I S�' <br />