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SEP-7-2011 09:40A FROPI:DRHL ELECTRIC-EVERET 425-252-2999 T0:4252578857 P.1�1 <br /> � � . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES p / <br /> 3200 CEDAR STREET, EVERETT, WA 98201 //�` // <br /> 425-257-8810 - FAX 425-257-ge57—www.everettwa.org C r ro 9-� `�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3�vc Co�.oy ��c, S� aoo <br /> PROJECT ADDRESS <br /> G,cEfN vNlcµ b�.D4 - 3Sp1 Ca,ar Ev,.Rarr� I.,il� 2S�i' <br /> Owner Mail Addresa Clty Slele/Lp Phone <br /> A1Co�eu�y G��'�`•G4t'S DEfruz �vaektr �✓r- 9S.�or <br /> Tenant MallAddresa Clly StaleZp Phona <br /> ,��!¢/�L EL�GTi4cc '�tD� �/L��bq�L Al?:` EvC.¢�rT W/�- 9{r?0! yJf•?s2•1700 <br /> Electrical COntrectof Mall AdCreee Gry State2lp Phone <br /> nwrr��ec R�� Q►� ' ��o" <br /> State Llconse Numbor Contract Pdce of Wark <br /> Proposod Usa of Building Conlaot Person (Plen Revlew) <br /> Description of Work to Bo Done: . 1- 1✓.S�TALL p[ 5i'✓! I`CNlf�f QA( ��.lST�/�G' ����T 5 <br /> NOTE: WIRING IN NON-DYJELLINGS IS REQUIRED TO FEE I <br /> BE IN RACEWAYS,MC OR AC CA9LE. <br /> CITY OF EVERCTT LOCAL SALE3 TAX CODF.IS 3105 <br /> 1 hereby certlly ihef I have reed end exeminod Ihfs opplfcnflon and know(he se¢��:S be Iru�end <br /> cwrrect. All provlslons o(lews and ordlnences governlng thls Iype o/worlr wlll b-cvsrp�ated <br /> whefher spedf,ed hereln or nol. The pran(Ing o/a perm7f Aoes nof nresume te plvA eufhodry fo <br /> vlolateorcenceltho pravlsionso/enyothersfateorlocallewregulatlnpcons.:ructlonorthe <br /> perfomrance o/construcflon. That 1 am nuthodxed by the owner o/thls pro�aRy to pedorm fhe <br /> work for which apppcaflon is medo and 1 comply wlth 7ho Sfoto Confracto.s Lew 18.27 RCW end <br /> 286.200 C. � <br /> v � ' �-a4lf ' <br /> SlpneWre Date <br /> ���v� , <br />