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P1Ai'-3-2005 04: 16P FROM:PROFESSIONHL ELECTRI 36� 435 SSB2 T0:425?57B857 P. 1 <br /> T ' <br /> � ELECTRICAL PERMIT APPLICATION <br /> � <br /> � CITY OF EVERETT PERMIT SERVICES <br /> i 3200 CEDAR STREET, EVERETT', WA 98201 S `�"�6 <br /> ' 4?.5-257-8810 - FAX425-257-8857 —�nnvw.everetlwa.orc� L���S.�jjZZ <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> I <br /> I2 !w Z �Yt.�LCY.ti..l...�.ti1 <br /> I � <br /> � <br /> PROJECT ADDRESS <br /> I �2� <br /> �Ql1�.r'CrQQ Y� G� �t►'�,4'ic ct �(�i�iX�3q �,P�P� ,f.�)A QS� 10<v zsq 314 I <br /> Ownei Mail AJJrese Gty State2lp Pnona <br /> ��M'•`ti <br /> I T011an1 Mail Addrnss dty Slato2lp Phono <br /> 3laD - <br /> r�����t csn,�0 � ��i.cr. �. �a�z�(24 q l ura(v�� G�R �182z 4� S b21� <br /> Eloclrlcal Conlractof h1ail Addrass Clty Slale2lp phono <br /> P �d }=E� zn�� x��- 1� �3� . � . 0� <br /> Slala Llconse Number Conlraci Pnco of WOrk <br /> I ' C� G,,uc�, �l��t�ev� <br /> CC��i CP`� <br /> Proposed Use of Buildinp Contacl Porson (Plan RAvinw) <br /> I <br /> Doscript�on of Work to Bo Dono: -�S'1.0..7�1' V��� �rll� 1 'v�-CR1CX S(,()L�.C�l S � <br /> ��s � a � �,�.,�e� rvi.u�1, Auz�u-e Qr��.C�-, �_c� <br /> 1 (X ) faMtit� ��,Vu.� �t tv�,v�/�� �1�C'�¢iSl o�Qn n�r scu��'�.[/� <br /> NOTE: WIRING IN NON•DWELLINGS IS REOUIRED TO FEE � <br /> B� IN RACEINAYS, MC OR AC CABLE. <br /> i <br /> � <br /> CI7Y OF c.VERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cedi,',Oiat 1 havo raad and exemfnod Ihis opplicef�on ond kno�v fho sarne to bo truo and <br /> corrBCt All pmvislnns of lews nnd ordinances govenvng Ihis Iypo of wak will bo ccmplofed <br /> whefhor speuGerl horein ornol. Tho prontin�oIa perrr�t doe�s nofp resurtte to give ou(hority to <br /> violnfe nrcancr�l tho provisions o!ony ofhor slofo c�local law ror�u/abng conslruclion or fho <br /> peAonnance o/consfruCflon. That I am aulhcrized by fho ov.�nor o/this properfy(o poAorm tho <br /> work lor wl�ich opplicatian is mado end I r,omply wifh fho Sfpla Conf�nclors Law 70.27 RCW and <br /> 296.200 WAC. <br /> p // � <br /> _r_Z!N��'a � hVw�.2-�— S ^� • C� �. <br /> s�pnawro --�'---�T]ata <br /> � � � <br /> (011� � < <, <br />