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�5/3n%2008 11:23 42525927°4 SE�HIJ!?5T P4GE O1/�1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32p0 CEDAR STi2EET, EVERETT, WA 98201 S —�O—O� <br /> 425-257-8D70 - �AX42r257-8857—www.everettwa.arg <br /> L-%d'�D S-�� <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 vM <br /> �ozs c�.�r ,9� ���1� 9�za� <br /> PROJECTADDRESS <br /> �1-/rV T i�RA�fO �OZS �irRy 19vC �/�'.,QE7T' l�/A 982n1 �9ZS�b�6� 64?9 <br /> ��ef Ma�lAtldress Cky StaMl2ip phone <br /> Trnnnt MailAddreas Giry Slatg2ip php�p <br /> �F�,4i/��Ps. rr�r,Prc 7g/S N���,c.r�- Sr �.t�,eFT,- �,r1,4 9B�oi Cy�f1� /l�bZ <br /> EleclricalCcmlractor MailAddreas CRy Steterz� Phana <br /> SEA�o9� ati �' l. D � <br /> Slnt� ucense Number Conttad Pnce of Wnrk <br /> / <br /> .�CE �—�(�/,EG �/7 ��— <br /> Propoeod Ucc of e3uJdmg Contnd POrson—_ (�eview) <br /> De.cripson ot work to De bone� ��/STrQ/G it/Ek/ IQA�tl6� c�liLET /NSnr1i . 2 NE . <br /> c�CCuitS rr� F���Eai ni�r.� .�E.�✓�,�i�Vsna�s� iwl Ts�s' <br /> Ki rc�� �r. — — <br /> NOTE: WIRING IN NON-DW[LLINGS IS REQUIRL=D TO FE[ <br /> 6E IN RACEWAYS, MC OR AC CABL[. I <br /> CITY OF EVERGTT LOCAL SALES TNC CODE IS 3105 � <br /> l hereby ce�trfylhaf I have read end examined this applicafion and know tho samr to be hue and <br /> tnrrecL All pmNsions ollews nnd ordinanc[ts povemmg this!}Te of work will 68 Compleled <br /> whefher spr.r,iNad horein nr noL I he gmntin9 o/n permd daes notp rpcumr•}�ry`i,(,au�bonh�fo <br /> viulare or r.e�nc�el tlie provisroqS o1 nny ot46r sfaM or local law mgula6nq consfNefion or the <br /> pedonrwncr.oI constn�cfion. Thaf/em authonzr.d by fhe ownerulfhis prtiper}y fo peAorm fhe <br /> work/or wn/rli applicatmn;s made and!comply wAh 17�e Sfate Confrac7orsPew 18.27 RCW end <br /> 296.200 WAC. <br /> � ,D ��..�-- � S1/.��lD� �� �"- /�' (� <br /> Sgnature " Uata <br /> �G�� <br />