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OB/27/2009 15:d5 2537701177 SINE WAVE ELECTP.IC PAGE O1/�1 <br /> ELECTRiCAL PERMIT APNLICATION <br /> CITY Gr= EVERETT PERMIT SERVICES g � �g c� <br /> 3200 CEDAR STREET, EVERETT', WA �8201 <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org �Q� � ����� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 27v� ���5� ,�U� <br /> PROJECTADDRESS <br /> -rj�ll�?1C. Piz���eS <br /> Ownef MauAdtlress Gry SlatefLip Phonc <br /> l �Qear�,7l('f <br /> Tenant MailAddress Ciry Stale2ip Phone <br /> S�ne 1,�.� ��,� (o�szo �5���� P���l�p c,�� `�3�/ as3-7�. <br /> ElectricalGontractor MailAtlnress City Slate2ip Phone <br /> ��� �W� �UU�I�cfZ2�C� `�' Z� 43�� oa <br /> State Lfcense Number Contrect Price of W k <br /> y �tzlC b,�.o�� <br /> (I��c�:�`.��, `����.n� zs3-��a� R5�� <br /> Proposed Uso of Building Contad Person (Plan Review) <br /> Desalptlon of Work to Be Done: �� c.2� 7� tF Z�1� �\t'W�tS �C" ���� <br /> C'2C.����nrS � �c-���i�etg '1p W2 l ✓�S�l�� bu �-�-L.fg <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT IOCAL SALES TNC CODE IS 3105 / L/ <br /> I horeby cortify fhat I have rond and exomined fl;is opplication ond kno�v fhe semo to be frue and ������� I � r <br /> comict All provisions ollaws and ordinunces gove,ming th�s f}Pe of work will bo completod <br /> �vhether specihed heroin or noL The granfi.vg of a pemut dcus nofp msume to give authonty to <br /> viofateorcancelthep ravislnnsolanyofherstnfeorlocallawrogulatingmnsfruc6rnorthe <br /> penormance ol construction. That I nm aufhonzod by(he ownor of thfsp ropertylo perlomr tho <br /> worfi for which applicafiun is mode end!compty wifh the Stafo ConVar.(ors Law 1827 RCW end <br /> 2J6.200 WAC. <br /> " �aturo� / l o'pet�`�� <br />