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SEP-5-2010 12:OBP FP.OM:PP.OFESSIONRL ELECTP.I 360 435 1162 T0:4252578857 P.1�1 <br /> { <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www,everettwa.org C/ ��`"� a <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �i o0 5-o a3 <br /> 3s 3 o C'o /b�/ .�1.c <br /> PROJECTApDRESS <br /> . a� <br /> �ir1" !/.�.i4./ /YeJ54.o%lf !^.��.�6. .P.1�o l'n/,6�,, .�v�e�'e�r,J/�f 9��0/ 7a.23 <br /> � Ownor MallAddrese Clly SfaloZp Phone <br /> _�� � <br /> Tenant MailAddrose Clly SWIoZp Phono <br /> � 7Y' ` � �" t .� y�����.7.�02��� <br /> !b S'Siovro ��Pc nG ✓�OB ,� `/�l �/'/., f�.��i, <br /> Eloctrical Controcto� MallAddress Clry � SlaloZp Phone <br /> .I'!L o�,�.�.I o � 7.��4 3/ 0 � �' <br /> Slato Llcense Numbor Canlract Pdce of Work <br /> ' ( � `�j�/�� . <br /> Proposod Uso of�ulldln8 Conlect Porson (Plan Rovlew) <br /> iDesrriptlon of Work lo Bo Dono: 1 ra,f,� �� O�i [� OCJ r�•�+c, �Of p� /P �.�c���j�- <br /> � .�_a/'z��a�r J�G Ore .�'hoct`•o� o�pz✓s-� <br /> i <br /> � NOTE: WIRING IN NON•DWELLINGS IS REQUIREO TO FEE <br /> , BE IN RACEWAYS, MC OR AC CADLE. <br /> � <br /> i CITY OF EVERETT LOCAL SALES TAX CODc 13 3105 <br /> � /herr.by cort/ly U�pf I havo reod and oxeminod Ihls nppl/ce0on ond know fhe sivmo fo bo frvo end <br /> , cemacL All provlslans ollnws and oM/nences povorning 1Als rype o!work wltl bo comp/ofed H��Q� —d ��J <br /> � �vl�ofhorspoc!!/od heroin ornot. Tho granlJnp of a permit does nofp rosumo fo glvo oufhorlty fo -" <br /> aorAro or�anco�rno provlslans o/any ofhor sfeto or locol lew regu/ating construcflon or(ho <br /> � parformoncoo(cons�n�cllon. T6oflnmauthorl.odbyfhoownoro7rhlspropaAyfopoNamilh� <br /> �vo�klor which appllcatlonls modo and/comply�rlfh Uio Srote Ccnfmctors Lo�v 18.27 RCW o. <br /> �� 2D6.200 WAC. <br /> � .��`�i�J /J i��� �� <br /> - S PnaWre Oalo � <br /> I <br /> � <br /> i <br /> � <br />