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Jun-17-09 03:52P <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE7T, WA 982U1 <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM 70 A PM <br />�� y G o Lt3Y �4 V�. _ <br />PROJECT ADDRESS <br />ownar <br />Matl Addrese <br />C <br />P.O1 <br />�-►��a9 <br />L(�io6-o�'5 <br />Ya�r <br />��9 <br />oi ae�L <br />State2ip Phor�c <br />Tenant Mail ACaress Cily Stato2ip ,^ Pi�one� <br />U <br />F�',GA/NJ��7�- Sv. J � �r / l �i/ .�.Q V .... !�// 9�%G_/_ 'S �f .�C %4 � <br />EleciricalCnnirar.tpr MailAdaress Cdy S4�tu2�p f'hone <br />l�'[� ni � si yz �,v <br />Stato License NumUer <br />sF� <br />Proposad Use of Buildinp <br />Contract Price of Wurk <br />ContactPerson (Plan Revir,w) <br />Dnsr.rirtion of Work lo Be Done: �l�I/v�f %� �.,�J F%1{M �,�'f%fl(�nM ouTtFT _„_ <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED 70 <br />BE IN RACEWAYS. MC OR AC CABLE. <br />CITY OP EVERETT LOCAL SALES TNC CO�E IS 3105 <br />1 hereby ceRily (Irnf 1 havr, rood ��nAexamined Ihis eppllcafion ���d �Cnew the same to bc Lue and <br />ccnnr.t A7! piov�5ions u! lews snAaMinpncBs (lovCming Oiis fype nt wcrkWill be cor11V1eted <br />whether spocitieAheiein or-noL Tbe granfing o! a pennR does nu! oresumn fo give authority lu <br />Violafe or cencel Ihn pl�ov/5lOns C(aily uther steta or lncal law lepul3finy construcfion Or thP <br />perlonnance olwnslruchon. Thaf 1 am aedfiurizeJ by tho owne� cf this piopedylo pe�lorm the <br />work lor tvhicA applicafion is mnile aqd I cornp/y wifh the Sf»fn (;Cnhactors Cew t B27 RCw and <br />1JIi.700 WAC. . _ <br />FEE <br />S "- <br />0 <br />����' ( /�� <br />I lalr. / � <br />�p[o a <br />