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09/2</2008 WED 11t08 PAX 360 805 0287 MILNB 8L8CTRZC �OOE/006 i <br /> � � I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT,WA 98201 - <br /> A25•257-8810 - FAX 425-?.57-8857 —v�ww.everetlwa.org <br /> i <br /> F1PPl.ICATIONS ARE ACCEPTED FROM 8 AM TO A PM <br /> ���� � :� �.� . �._:n � ��vc� �`'z, i�r. �; �'�y0���/ <br /> PROJECT/1DDRESS <br /> i/�C i'� �� =;iv<> � �� 300� W �a�c��� FiNv�tf �,�A 9��0� <br /> Ownef Msil AdAnss CNy Sletc/Zip Phano <br /> Tenant `_`----_ tdailAtlErou City Slola/Zip Phono <br /> � i��,��' ,.:-iF.:= � :i/'�r . :�--;;,, � 'I�.�� � iyr: ',i� s��' ,;o,v,�:•c:^ , �,,,, <br /> ElccVical Conlrec�or � .� ;�1nI Aqdroes .-t Ciry Statd2ip P�ono <br /> + i J 7 � i�� ' � �,� C� ��(.- / -I` <br /> •� �:.•. , . <br /> /�1'/�i�i[=�:1%c��/�N � S�D�tO — <br /> Slato License Number ConVacl Pr c1 e ol Work <br /> . <br /> �',��i,:,�i�� ;:v,<'�r��, --- <br /> Proposed Uso of Building Contad Person (Plan Review) <br /> Descnphon ol Work to Bo Uone� � ��� r ,L^. �.- . --- <br /> �/(/(i � •'J/lii� ��.f.�/-("' ;.d/�' i.! i`i9.�C`� /vir�i.�! /��L'/��IC�/�_� <br /> .`'�_'t� (// �'/�i(._�/V 7�, ----�----- <br /> NOTE WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY Of EVERETT LOCAL SALE9 TAX CODE IS 9105 �V g� — I LI � <br /> I heicby cert�n-Ihef 1 havn rued end ecnminad fhis epplicafian and know Ihe samo fo be fruo end <br /> co�recl �I!piovrsiuns o!lews end ordinences governing fhis lypo ol woiN will bo complefod <br /> �;-he(hei speaGed herern or naL The grenfmy o/e permr(doe�nof presume fo give aulhonty to <br /> vioble or cenccl�he piovisions ol ony ofhor sfafe ar loca/lew�egulafmg consfrucfion o�Iho <br /> peiforrnuncu aI consfruchon. Thef I nrn uufhunrud by the owncr ollhis propnrty lo peAorm fhe <br /> �•:ork lur which applicolion i�modo ond I comply with fhu Sfafe Confradms Lew 1 B 27 kCW end <br /> 246 200 WAC , <br /> � / • ).7 ] <br /> / \ � ' .• � r ..a"' � !����/�./t �. `/�(��7']_�Lf_���� <br /> ipnalun -���e�fl ' <br />