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OB/24/2009 HON 1G: 35 PAX 360 805 0287 MILNG �LCCTRIC 0002/002 <br /> / <br /> t <br /> ELECTRICAL PERMiT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRLET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8957—www.everettwa.or� <br /> I G�J ��C-�l..,CCL APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br /> '*' ��� �..�YtTL.-G�G✓r+� (�<«-�i.-S W'7t' <br /> r�Do:J T'U7.,-f_'72 �77r'�CLIT�, f�'UC7�c--�l- �d'.7`� � <br /> PROJECTADDRESS <br /> �t7C�O 7�JZ.JL�L S% <br /> L(/L'�'-t-'"fT� CcSl'1Nr Cv�.�r�t' L'�/L��IT (�✓✓f— —/tf�� <br /> Owner tdail Address Cily Stale2ip Phone <br /> /�J.�c.�Y rs��.a�-� s�� ���� 5� 3 0� -y��° <br /> Tenant IdailAddress Ciry Slate/Zip Rhone <br /> � ��X �3�� �o.�.r.,c�c' �3c a ; <br /> /Ylr��� L2•Lzr'�/c ���s'7 Ty� srsc.- a..�, 9od7� �ti3- >�r7 <br /> Eledrieal Conlraelor Mail Address Cily Slale2� Phone <br /> /Y1 lLN�!/t�(I�iv :��aC`!( ��� `I'o� ' <br /> State Licenso Number Conlract Price o(Work <br /> �.�'lci,vG Lo'.T dU1�/C C',l�?55��5 <br /> Proposed Use of Duilding Conlacl Person (Plan Review) <br /> Descriplion of Work to 6e Done: �N;57'Ya'LL � /JJ/� S'�,�(!((.G; C�/re.C.'7� <br /> /� _n � "7 ��� �t L�U �a-s .q-i— ,�.�� /'�Kitic� <br /> (i�T, /�v C C'U.�Dv i'7-. (�,��/�iivG � �i�u.u>/n-L�, <br /> �� � �k������J <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 {—�'.� <br /> I hereby certify Ihaf 1 havo roatl and oxaminod fhis applicafion and hno�v fho samo fo bo truo and �L/g���-��/ <br /> cor�act All provisions oflaws and oniinanc�s goveming fhis typa o/�rak will be complefad <br /> �vhe(her speciGed herein ornoL 7'he granting of a pcnnd does nof resume fo give aufhor�ty lo <br /> viol�(o or cance!(he provisions o!any o�he�slafe ur local law�aguFfing consfruction o�fhe <br /> per�omi�nce o/mns�ruclion. Thut I am nufhori:ed by fNe otvnerof fhis property fo pedarm fhe <br /> �:o�k!Or tvhicb opplicafion is mado and 1 compry�vi1h fho Sfafe Confrecfors Law 78.27 RCW end <br /> 296200 WAC. <br /> r <br /> � <br /> � � ��� � �� aS <br /> Si iaWr^ Dale <br />