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12/30/2008 13:17 4254885288 PAGE 01/01 <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> G7Y OF EVERETT PERMIT SERVICES , � <br /> 3200 CEDAR STREET, EVERETT.WA 98201 <br /> 426-267-8810 - FAX 426-2S7-B057-www.evcrettwe.org <br /> APPLICATIONS ARE ACCEPTED fROM e AM TO 4 PM <br /> ��W ��I1.10 R� <br /> PROJECT ADDRE53 <br /> �L.----•r��,.�.�:--- �lrFIc�71E3 K-C �iS� S'� 57- ttd0/ /�dr7: wZ <br /> pvmer MnllAddrot� Clty Slote2lp A,c aSPJ�a�71 <br /> —w., 3• :v <br /> LWk�.��•u�n �r.N�Ql�1 L►.�e. 2�11 W C/IsIND R.9 �dePx"7T" '8�'� <br /> TDnPnt 61allAddrn� Gly SUblIJp PMne <br /> Z S3 <br /> A�Y� c«r'-�r-} ser�,��'� Nd2yH. cke�Kr,�+yd.��oT- f,-�1c,,. 4.�4 9Bo�� �'�'�'-��b� <br /> Elactricel Conhaclor M�il Aadreea City Snh21p Phoae <br /> F1�7��ES.4V'3'LJS �Z��� <br /> State Llcence Number Conirad Prlce of Work <br /> ��x Fix 2s3•3}�-11��1 <br /> Proposad Use of Bulltliny Gon1Ad Peroon (Plen Reviaw) <br /> Deacrlption of Work to 9e Done: Ia S1Mtt- 5LG4���� �''6��'��Li f �� �f��� <br /> �LND Oernt.E*,� — <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CA�LE. <br /> CITY OF BVERETT LOCAL SALE9 TAX CODE IS 7105 � /'� v I�C� <br /> I h6rebY ceRily thal 1 hd��C iDad ar,d BkaminCU(Rii appliepli0�Bnd kOOW(h9 samB f0 U9 hvC e1Bd {�( )O I �' <br /> eorrecC arl proNCWns ollaws and oMlna�rns povem�ng th�s fype ol wnrk anll be cromplefetl �.' <br /> whofhsr specil%ed hr+rt�in or not. The pranfmg o!a(�eimd dce3 nof pmsume fo yik pufhOnty fo <br /> �•io161B o�csneel Grn�mvisio0 0l any ofher stafe o/Ipcal law rCgu/2h�g COnStNcfion or fho <br /> pedormance o/tonstrue6on. �bat I em aut�ronted Oy�he nwner o�fhrs n�oparty to peAortn the <br /> wmk for which ApFliCahon is moUe and 1 comply wlh the Stofe Confrndo�s Cew 18.21 RCW Bnd <br /> 196.200 lh'AC <br /> ���Q�_�� /2-3o-O�' <br /> — sqnsuuc wte � <br />