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F1RR-26-2�08 ��:25 From: To:2578E57 Paee: 1�1 <br /> 3 ��30 <br /> ELECTRICAL PERMIT APPLICATION <br /> GITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STR�ET, EVERETT, WA 98201 3 — �7 ..b g <br /> 425-257-8810 - FAX 425-257-8857 —v,nvw.evcrettwa.org <br /> c,-=o8a� -/52 <br /> MPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> b1-4) .�v l��Y !� V� <br /> PROJEC7 ADDRESS <br /> L�ZS � <br /> � Qn u� "� fn)� `�Z�l Z�-C�171� <br /> v Cf all Addrcss Cdy Slale2ip Fhone <br /> b� rv�0, <br /> 7enant Mail Aadr9sa Ciry 5tato2lp Phone <br /> ��1�' J �Z� <br /> �I�►-o I Pac�`brC� /���,��r�P,rA�G.i—� c�� � �sb'3(��j <br /> Electncal Contrader Mail Addre56 cuy s�am2ip v rnona <br /> �oN ,�r4'� q�gD� � 3y75. ° <br /> State Liconse Number Contract Price of Work�� <br /> _Z��� m.ed�ca0 ��� / <br /> Nropose Use uf 6ui���p nlacl Parson (Plan Review) <br /> Descrlptlon of Work lo Bo Done: IJ� VO I I(/�(J �'� S 5��� <br /> ) �:on�ro I I � nl.ev�'c,� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO f-EE <br /> DG IN 1''.ACHWAYS, MC OR AC CABL[. <br /> CITY 0�EVCRETT I.00AL SAL[S TAX COOE IS 3105 <br /> I l�ereby coRily 1hBt 1 h�ve rvnd and exumined t/iis appNcatlGn ond know Ihe Same(o be true and �(�`��j� �5� <br /> cort�ert. All provis�wis o/laws anJ oNmancns govorning 1h�s lyp�3 cl work will be cempleted <br /> whelhCr speci�cdherNn ornoL 77�e yranting oI3 punmf does not resume to pive autho�itylo <br /> vio/aleorcance/the provision.co/anyothvrslaleor�ocal/awroguPtirgconsWctionOrthe <br /> pertormnnce o!censtructlon. rhat!am aulhon¢od by the owne�ol this propedy b peAorm the �,�. <br /> work Icr whicli applica�/on fs made nnd 1 comp/y�rith the Sta(o Contrauo�s Lnw 18.27 RCW pnd ' I� <br /> 29p.20G WA . <br /> , � <br /> 3 2� 0 2>� -�57�� <br /> � 2I9 <br /> � <br />