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11/12/2009 THU 10125 PA% 360 BOS 0287 MILNC BLCCTRIC 0008/018 <br /> ( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32p0 CEDAR STREET, EVERETT, WA 98201 , <br /> 425•257-8810 - FAX 425-257-8857-vrvw�.everellwa.org ' � ��''�' <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br /> �jC1U j G ..�. �r�'�i/ A.C� /�U/��'� _ /;L l��) �f y� �� yr <br /> PROJECT ADDRESS <br /> ��c� i3:.�c ,�uc, c��i�-rv�ati��• <br /> OYmCf 1dai1�UUmss Cip� Sloic/Zip Phone <br /> �-`E/�,,,i C7 <br /> Tenanl tlail AdJross Cny StaleRip Pnono <br /> j9•1/C_/�tr L "[ ['< 77�'/c" . /�v!_ _�� 7? L s7" .`�C- //'lGn�2c�C-� (,,,.49 <br /> Elecirical Conlmctor Mail adawss (.�y Sta�e2�p Phona <br /> 9 J,»�� 3 c v- �3c• a - �lC. �7 �j <br /> /�'IiL��c: E7/olPiV �V � 7'�U ~ <br /> Slate License Nmnbei Contrac!Price of Work <br /> � 77�2�`: �U F)� C_c � _ <br /> ProposeU Use ol6uiltli g Conlacl Persen (Plan Revic�v) <br /> Descnpuon ot Wurk to ee Done: C.-/ �(�f7'UC.� Ci��-(� /tfil!k.:- /V �- nCj2_L fLr.'7..�' C.� �.�- <br /> --- ----- --�- <br /> _��- 2c'z-����z-�� ��c���_ f 2 L i�vl�s �c::�.��,,tz:.r� •n7 <br /> _�?G/s77N� %��..C�'Z. ti l���v��� G�.vC7.�:T Fc�2 <br /> G� /��h c,�.+.�i Ci4?7�1N G✓��Cl�v�;�. <br /> NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> DE IN RACEWAYS, MC OR AC CABLE � <br /> CITY OF C-VERETT LOCAL SALES TAX CODE IS 3106 L b�.�/ _ �yy> <br /> I hemby certdy fhaf I hava road 3nd oaanuncd fhis appLcalicn und hnow Ihe ssme fo be liue ond <br /> ~� � <br /> couecf. All p�ovisions u/la�vs and ordmances governing(h�s typo o/work�vill bo complofed <br /> �vhelhcr spacdied heiain or nol. 77�o granling o/a pennrt does noI presume fo give nufhonty f0 <br /> violafe or cancnl fhe�.vowsons ol nny other sfate or Iccal la�v iopulaling cons6uchon Or Ute <br /> pwlo�man�n oI cons.iucGcn Thu(I am au(horiiad Uy fho o�vnor of lh�s piopeRy to poAoim(ho <br /> �coiF 7ui which applie,!ron is m�Jo nn01 cornply�.ilh O�e Stafe Conlracto�s Law 78.27 RCW end <br /> :96 P00 14-�1C. <br /> _ —�J/Y'�/ ���1 �� �1�,�/O�. <br /> ' :'��7na wc uaie — — <br />