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02/29/2008 14:5� 12063419328 GUFP,DIAN SEC 5`!5 ACT PAGE 02 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7f2EET, EVERETT, WA 98201 <br /> 425-257-8810 - fAX 425-257•8857—www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3l18 �aad� <br /> PROJECTADDRESS r <br /> Owner MallAddreas City 5taie/Ziv vhme <br /> gLl �.i� �r,ds �uP��ad.� � ab� - <br /> Ten2nt�—T MBIIAOtlress City S�eta/Iip Phone <br /> l2lX!_67Y1� t)ri�1�IS�£pfY\� �1G{'�S'k_{�Ie.S� .`�Pat�'� i ���y ����`�x-loS�1S' <br /> Etoctncal Gomraqor MaTi Adereot � Gry S�eiaZp Pfwne <br /> State Licenea Number Contrea P-ice or wDor� <br /> t'�voosen use oi Budding Contdd Parson (Plan Rewew) <br /> Description of Work to Be Dona: �� VD I"1 Q��r 1 y/l��S��{-p j� ��S�^ ' ( <br />�N <br /> NOTE: WIRING IN NON-bWELLINGS IS REQUIRED TO FEE <br /> HE IN RACEWAYS, MC OR AC CApLE. <br /> �5p°° <br /> CITY OF EVERETT LOCAL SALE$TAX CO�E 18 3105 <br /> I f,�;��ty.��rtllylha(/ha�o read any ewam�^ed thls appbca(!on end kncw fhe some to 6o IruB and <br /> cor��u All provisions ollmvs and urdmorces gnvemi,�g fh�s(ype o!work w�4 be com0�afe0 <br /> wharnar specrhed hereln or noL TAo pronhng ol a pormrt Ooes nofp resume to plve outhonry�o <br /> vio�afe or cBntol fhe prov(elons o/eny otha�stefe or loCel lew repu/a0ng consfructfon or fhe <br /> porlormance oI conSINCh00. Th9�I 8f11 pU(AOI1Z90 by�ND OWlIBf 0/BI/8 property to pedonn tfre <br /> work lo�wniclr epplicetlon/9 m0ue and I Contp�y wllh the Sfete Confrectors Law 18.17 RCW and <br /> 286.200 WAC. <br /> �,a�a,�,d a a �o a_ l � � <br /> e1e �_ C <br />_r�. I <br />