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11/22/2011 TUC 9s20 PA% 360 805 0287 HILNS BLCCTRIC 0001/001 <br /> ( <br /> �-�-�{ �P.i<-.-.c �/�.vr-r. 7 <br /> __—_.__- ____. '__._—_ _— . .� <br /> G// oc, rj s-� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERET7 PERMIT SERVICES <br /> 3200 C[DAR STRCCT, EV[RE1 T, WA 98201 <br /> 425-257-8810 - FnX A25-257-8857 —www.everettwa.org I/ �ZZ �l/ <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM " �I�` —��� <br /> ��>,� J c��,.� i1,.�r' �,�,� {r r-J%9 <br /> PROJECTADLZESS <br /> �,.�,,..� C, ��o o�� 3 7�7 ��� s i r �' s« �h �✓la S's , � y <br /> Owner ldell Address Ciry Stole/!ip Phone <br /> •—_.-- l��.7..1� ._—"__._—___—._...___'--__ <br /> TenxN �aa�i ndCrees Gry SiaieiZ�p �'��a��� �� <br /> /y5-Ud / 7J'� %/? 5�:- '• � �, , � i <br /> J?9, .0 C Z-.� /.,� frc,,,�,�v c.- a.�� 9 � J�� f c - 6Z 3 � �c,�7 <br /> Eleclncal Contraclor Maii�ddress Ci1y Slnle2ip Pnone <br /> �� �iL�'�Z�/�l 1��7 � ,r�-v - <br /> Stale License Number Contrad Price ol Woik <br /> S� <�.. � C��,-n�.rc, s. ��(C_ _ Gt-1� S S-�'s__ <br /> Proposed Use of duild ig Contact Pcrson (Plan Roview) <br /> ��/ ��� J R � c�;�, �r:...� -f,� �r� s �.-� <br /> Descriplion of Work lo t3e Done _ - Cll� .� > > __ � <br /> //� �. / / �. <br /> .� <br /> l'��-(� �vf '�_U l in G H1 /—�Y -/""t/ 'Fv✓'� L(iJi/I �@�Y�; S <br /> �_� l� '!�'L'�'!i'V ! 5 _� �_� l ��/ � �! '1' (� L' / S^f �^� � <br /> �"_"_ <br /> NOTG: WIRING IN NOIJ-UWELLINGS IS RGQUIRGD TO f-EE <br /> B[ IN RACEWAYS, MC OR AC CABLF -- - S'�J � <br /> CITY OF EVERETT LOCAL SAIES TAX CODE IS�106 <br /> I heroby certily thal I have icnd and etanvned th�s opF�Gtalion and Fnow Ibe same fo be truc ond <br /> cun�cf. �II pic+wsions ollaws ond ordinances govorning fhis fype o/�:ork wdl bo cornplP7etl <br /> �vholher sPcr.iGed herein or nol. Thc grantrng u/e pernuf does nof Presume fo yi��e aulhonty lu <br /> v�aole o� cancM the provis�ons ol nny ofher sfate m locnl law re�ulefing consfruc6on or fhe � <br /> ��erlomranre ol consl�urfion Thaf I arn euthonzec hv fho owne�o!t/ris property fo pnrlurm Ihe <br /> wu�k 6�� �vh�clr ippGcafro is made antl l compty�ti he Slale Conhacfors Lmv 1�27 RCIV and <br /> :3G:00tM1'AC � )� I ��i <br /> '��/ /// II II <br /> / ,x. _����y,�-. /�/`��� j <br /> �9pnaw� Deio <br /> / <br />