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Oct-07-09 03 : 68P P . OI <br /> ELECTRICAL PE:RMIT APPLICATION <br /> I CITY OF EVER�TT PERMIT SERVICES <br /> 3200 CEDAR S'fREE", EVERETT, VJA 98201 <br /> 425-257-88'f0 • FAX425-;?57-885i—tiwrw,everettwa.org <br /> APPUCIITION$ARE ACCIcP7Ep FROM 8 AM TO 4 WM <br /> 3.�oc /3f2n,��cv�tJ' <br /> PROJEC7 ADORESS I <br /> Owntf 1,1a11 Ad�iree� <br /> �:��Y �,� �y3���,�,o �.no�,a <br /> , <br /> /�'�/�nLZ�-��,�i �6U�.•�l1lu,F I�iiyw �!3 3 �/'-��— <br /> 7en3nf t.lail AJdress �� ^ � <br /> Qry Statr'1�,� '/Z ( Pir,ne <br /> Y J <br /> ����,a�c .��5 3c�, �v �u . c�-� �F�,, ?sy .2i�i <br /> Eleclncal Contr,p10r Mail Addrexs Gity Stoto2p Phone <br /> ��}!1/S j�S� Z t �'� �GGa(i �_ <br /> St2le Lic�nse Number � � Contract Price o(Vdnrk <br /> CG,�,,c� <br /> �'«�nosed Us�of Buildinq Contact Pr.rson (Pl�n Review) <br /> S C/ncv� <br /> Description of Work to Be Done: �OQ �/� {F'�/���� 3�}6 f/ULf C /�QL v[T -z �Z Z G <br /> �.( L ' �___ . <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CAB�E. /�� Sa <br /> CI i Y OF EVER[TT i.00AL SALES TAX CODB IS 1105 <br /> !horeUy cr.rtdy fhef l hove res�i.�nJ exami�7eJ 7hi5 ap�licafi0�t anJ tinOw(he S3hlB fo bo fNe and <br /> coned. All provisions o!/Bws ond Urdinances govornuiq fhis type c��work wil!bo conrpleted <br /> wlic7her 5peuheAllB�ein nr i1oL Iho prd�iGng ol2 pemuf d0es nnl�7resumn fo ph�e suthority tn <br /> violBfe or�ancrl fho provisir,ns ol any pther xt�to or locel/aw reyu.abng cuns6uction or the <br /> pn�io�nr.�nce�o/cunsfnlc6un. Th�(1�m nulhaim�i by Ihe owner o/Ihis property!o peAnmt the <br /> w�urk io� which���plsaiion is mado nnJ I cwn�t w;(h the Stato Cont��r.fnrs Law 1 g.27 RCW and <br /> 25G.200 WAC. � y <br /> _ ��' '-�°�-- <br /> S:gna:we ���� _ <br /> `cXl��-C�Z <br />