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Apr-10-09 11 : 12A I P.O1 <br /> __... --� --- _.�.`. _._ <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320U CEDAR STREET EVERE7T, WA 98201 <br /> 425-257-8810 - FAX 425-2:i7-8857—www.everettwa.org l(� i p— O9 <br /> _- ��n c,Z- - APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C O°)0 4-fl3�J <br /> Lv -- ----...--- -._ ._. <br /> _����� S�Sc.�U JE ��( - -- <br /> PRO CT A DRESS <br /> OwnCt M11ail Aadres� Ciry � StateZp Phonc <br /> c ,4rcAvh, y�'I <br /> �s G- C�vb. _ �Go c� C dsc�u��,s �n �c/ Y��o � . �G� - �5.�� <br /> Tenant Ma�i Aud�M�v ciry � SiaiorYqi Pnone <br /> yit <br /> �Vi,�w�c sF z��a� . . �.U�r� rU y��o�.._ ._.._. �sq 2i�� <br /> Elecidcal Cuniraclur Mau Aadia.a Cily Srola�Zp Phone <br /> rc{'CAdISs /y�LP �� �,50� <br /> Sta�o t Icense Ninnher , Contr�cl Prir.o uf Work <br /> �f � �.�UQ _ .... <br /> ('�OposnA U50 Ot f3lulAip,l Contnel Pnrsnn (Plan Fbview) <br /> DescdpllonotWork�oR�eDuna: �P(�Cf fLO���j.�{Q,.J� f ��t�0/� �(��7 m/u <br /> � 1�a� f���n ��� -- � — -. <br /> NOTE: WIRWG IN NON-DWELLINGS IS REQUIRED TU S'� FEE � <br /> BE IN RACEWAYS. MC OR AC CAOLE. <br /> �� <br /> lar� �S�.o <br /> CITY OF�VERETT LOCAL SALES TAX CODB IS 7105 ��`� �3 �O!•'� <br /> llmroby friidy fh�f f haVd renJand r.rnn7inPd(IIIS Appl�CH11J11 GRf71f110W IIIQ S2qIB IU I1C HUC OOA C �Q/�� .Q��- <br /> co��ect. All pruvisiona nllnws and ordinances gnvnminp tRlS lype cl work wrll be compleled 1 �v-� <br /> wneihnr spetilied herein a noi. The pinnfi�rg o!n perm�t Aon^nOf pitiswne fo givc nUfhO�rty fo <br /> violafe or cnnr,�l d�e/vevisions ol any otlier stafe or locel lew rnpwotmp consfrurllun ar fhn <br /> peAonnnncr. o con5t�ut(iorr Thaf!em.�ufhorived by fhe uwnrr o!thia p�operiy fo peAomr Iha <br /> work/o�wlrich npObr.nhon rs rnadP anJ I conrply wdh tAC Sfatr Cun'racturs Lnw 1@27 RCW tind <br /> 7y(i 700 W C <br /> `„ ""- ! ��'1�_ <br /> .;rtpin4ue -. . . .' .-� Uoto�/ " �� --- <br />