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�5/01/2008 14:57 4?5:59279q SEAHURST FAGE 01/08 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-9857—vwvw.everettwa.org `� <br /> �OgOS�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 730 �o�r A�, �,.�E%� . <br /> PROJECT ADDRESS <br /> �vf,.,�� �.on� �iyt,Pi�r��Z 37�5 �,ar�sAvE �i/�'F_rr C�la 98ZD,' Cyzs}$9y-° � <br /> OWnef Mall Addrnss � Clty 5late2ip Phone <br /> �,5�/r!l /}5 /��f <br /> Teaant Mall Address Clty Slele2ip Phono <br /> ��!' ��c�r� CNE rNcn' r Q-Er1' Gf/ 1 �ZSZ58'l8$'L <br /> Electricrl Gontractor Mail Addross � City StatelZip phone <br /> 5 r� 9 Q �/8l%. �n <br /> Statr.License Number Contrad Price of Work <br /> $Gt�ooL: �.�PE�'i.L%��✓JE.�%s (��F� ( /A�t/iE� �,c�ui,EiPf <br /> Proposed!�sc of Building Cantad Person (Plan Review) <br /> Desc�ption ot Work to De Dane: IA/S!�G� CD/U�L!/i /\ ACFC(/�Y 1%�� �GfrLI�',� <br /> !'/B R mP//C C'laBLE fN�,p�laLL/aJ�/O�T✓ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE DD <br /> BE IN RACEWAYS, MC OR AC CABLE. �`�� <br /> .ft <br /> CITY OF F.VFRETT LOCAL 8ALES 7AX CODE�S 3105 C�',c <br /> I hereby cr.7ify that I have read and examined lhis apWlicafion ond know the some to be fn�e and �L�LI l-" �� <br /> cortec(. All proviNons ollnws and ordinances govommq this f}�e ol�w�k will be compleleJ � <br /> whefherspucifrvd herein ornof. 7he,qrnntlng of a pertmf does not presums to giw authonty to <br /> viniete orCencol(He provisions ofany ofherstate or locnl law iepu/nfing consWdiOn or the <br /> perfonnnnce olronsin�cfion. That I arn authonzed by fhe o�mer oI this property fo perform N�e <br /> work/or which applicafion ia mndr.and!�romply with t7�o 5(ate Contractors Lew 1 B.27 RCW and <br /> 29&200 W/IC. <br /> ���G't,�,'�n�.. ��/ �Qcg <br /> � S!hnglurC D IB <br />