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NOV-02-2011 WED OB�29 AM Prim� leclric FAX N0, 42s '5552 P� 01 <br /> ELECTRICAL�PERMIT APPLICATION <br /> CITY OF EVERE7T PERM17 SERVICES I���� <br /> 3200 CEDAR STREET, EVERETT,WA 98201 �'��� �D II <br /> 425-257-8810 - FAX 425-257-8867—www,evarettwe.org <br /> APpLICATION3 AR8 ACCEPTED FRO 8 AM TO 4 PM <br /> �✓eRer/ !/�uNufa�r�u✓� �ac�l,� <br /> e , �'��`�, ��i� <br /> PROJECT ADDRESS /�/��,� <br /> "!/��/�� �/.��1���7���/ V � d 8 WZiP � ~// Pho� � <br /> p�y�e� PMIIAddnsi Cfty . <br /> �� �� �� �/ �� <br /> Tenent Md�AdQree� CXy SIetJAp Phona. <br /> � I <br /> ,G <br /> Electdoal Canttnctor Mell Mdre�t cny � Su1s21p Phone <br /> I <br /> Sie e Llcensa Nymber ' CoN Pr� o Work � <br /> . � <br /> Propose sa ot Budd np �/� , ���.&ontact Paroon (PIAn avlaw�/y <br /> /// �^jc[�%7�7 %� <br /> 16r V� <br /> Descrlptlan of Wark o 6e Done: h �� ll <br /> e <br /> �/ � � .� <br /> P!OTE: WIRINOINNON-DWELLINOSISREOUIREDTO FEE <br /> 6E IN RACEWAY6,MC OR AC CABLE. <br /> cITY OF ENERETT LOCAL SALES TA7t CODE IS 8105 <br /> 1 he�eby eertiry fhaf 1 have read and exemined fhin appliceltan and know fhe sama fo 6 fnrv and <br /> corroet All pivvislons qllowt and ardfnences owlning fhis type ol work wlll D�oompfetetl I <br /> whrther specllied hare�n or not. Tha prentln0�'e Ps���does nofp resume fo phe eufhaiy to I I <br /> v/o eta o�cancal fhs provlslonY.al en otherafete or lacal lew re ulutIng concf�iclfon o fhe I � <br /> performancn ol conatrucHon. That 1�m auth pr�ied tha owne�o!thls propeRv fo pe�orm tha I I <br /> 9�8 200 WAC eppllcatlon l� de nd 1 m y wf fho Stato Conhacfan La�41B.27 RCW and <br /> Q�Ll.I�M v � a . <br /> � � <br />