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10/B7/2�08 05:09 2538740058 EIdS PAGE 01/O1 <br /> f <br /> E ECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR STR[ET, EVERETT, WA 98201 <br /> 425-257-:�810 - FAX425-257-8857—www.everettwa.org <br /> ApnLICATIONS ARE ACCEPTED FROM e AM TO 4 PM <br /> �i�3�- }�Yo w <br /> PROJEC7 ADDRE33 C��� <br /> �f'a� b� Cd II (i-i� �i23�- �►��dw , �ve�r.ft- GJI��9d�oj ��-Z—/�23 <br /> Owrler MallAdtlreas Clry SIa19/7Jp PAone <br /> CoVBltartit �} C'-T/a5Y SamG � abcve. <br /> Tendnt Me�iAddreas City SWIe2ip Phone <br /> � Mai+o� eme Sew��.5 3�F�ia 9�-/�� s, �iiaF wl� y�.��,� ��'S-3) <br /> ' G' 7�f-v-� <br /> ElectricalConlrador MailAddress Ciry SiatelLp �hone <br /> HV�Q(x�1S 91.� �$' ��oov , °_ <br /> S1ale License Nurobe� Con�red price oi Work <br /> SQ9f7 �✓a'»7 <br /> Proposed Use of�uilding Gon1aM Person (Plan Review) <br /> Oescriplion of Wotk to Be D s� h�rl���µ���'�^� <br /> NOTE: WIRING IN NON- WELLINGS IS REQUIRED TO FEE <br /> pE IN RACEW�Y ', MC OR AC CABLE. <br /> CITY OP EVGRHTT LOCAL ALES TAX COUL IS�705 <br /> I hereby cerfi/ylhaf 1 havo re d and examined fhi5 Bpplicalion and knpµ�prg S3n1B f0 be true a7d �� D/y� �� .� <br /> cormct ANpro�isions o!law, and oNinencBs gOv6m�ng Uris type OI�+ro�k will be completed ��`i' <br /> who(her spealod heroin or n�L Tho qrunling oIa paim�(doos nof �esume fo give outhonty to <br /> violete or cencel the provisioi s o(any othe�sfafe orlocel law regu�ting constructi�n or�he <br /> peiformance o/consfruction. Thaf I am aufhonzed 6y fhe rnvner of Ihis propeAy(o parfomr(he <br /> work lor which apUlication is tada and 1 comply wifh Ifr�Sfafu Conlracto�s Law 1 B27 RCW and <br /> 286.200 IVAC. <br /> O�f��-�/�tl/0 <br /> sipnawre oa�e <br />