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NOV-OB-2010 16:16 FRON- T-T11 P.00t/002 F-004 <br /> � �• ' <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810 - FAX425-257-8857—www.everettwe.org <br /> APPLICATION$ARE ACCEPTED FROM B AM TO 4 PM <br /> ��pU. yo - il __ <br /> FROJECT AODRESS <br /> C3oc=� N � CUc � c- i i ya:�'a66' `�YS <br /> Owner Moil Addre�o Ciry Sta�e2lp Phone <br /> Anant Mail Addm+e Gry StetUZ�p . _.. Pnone <br /> Sm� Sol�.+�v�� a�oa. asr 7�aco,v��. ��+ a�v�a a5:(-s�a-3s� <br /> Electricnl Contreetor Mail Addrces Clry Sum2p Phone <br /> S.�FSosL 9 �� K1 � � 000 � oJ . <br /> Sta[e License Number ConVaet f rice o1 Work <br /> ropoae Use of BuUding Canteet Person (Plen R�Naw) <br /> OeseripNon of Nlork to Ba Donr: C�e�P ���e o� ' -��c � �i nC'.Jr��C � , <br /> NOTE: WIRING IN NON-DWELLINOS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> �b Z� <br /> CITY OP EVlRET7 LOCAL SALES TAX CODC IS 5106 <br /> 1 hero0y certiry thaf I havB roa0 end axominod fhis epplicetion antl k00w IhY same fo be frue end <br /> conrcf All pmvisions ollaws and ordinanyus Covuminp f�is type ol wOtlr WillOY,com0�eted <br /> whether spec�/ied�arein or nut The pren6np 6f e pe�m�t Oo�a nofp rosume ro y�ve aufhority to <br /> vialafe or cancellfle proVision ol anY olhor itqh or fotallaw fBpulefinp conshuchOA OI the <br /> peAormance o!construction. �}nat I em authonzed by tho ownar a/fhis property to p rl�m tne <br /> work lar which AppliCetlOn�5 Rledo aftd 1 cOmply wifh ttlC Stel9 COnbYGtoa Lew 1B.2S RCW 9IId 3 � <br /> 296.200 WAC. / ' O �� /� � <br /> �ipnatum 001� <br />