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From: � 04/� . '2012 06:51 #628 P.001/OD1 <br /> ELECTRIGAL PERMIT ApPLICATION <br /> CITY OF E��ERETT PERMIT SERVICES <br /> 3?00 CEDAR STREET, EVERETT, WA 982Q1 <br /> 425-257-8810 - 1=AX425-257-8857-www.everetlwa.org <br /> y�` � 3 APPLICATIONS A�E ACCEPTED FROM 8 AM TO�PM <br /> �I' Evz�yfe� Wa� E i�wy� �tl <br /> T �M�-v���e� <br /> PROJECT ADDRESS <br /> pyy�e� Mail Address Clty State2lp Phone <br /> \ �n��, y$3\ �ir�q tee✓� ia.lp�t� '�:,le.�.e� � lv�-. ��� <br /> Tenant Mail Address Ci.y SWIe21p Phone <br /> '7' � � I.J.�. IQD�, •'�J'3��rJ' <br /> �O[o�ZvP Tc.J�.�,�:(� (��^-:�cea�.rc, t°L,t�iG2.�+�- .f4le �D. U�o4- keK � <br /> Eleclrical Contractor Mail Address Ciry State2tp Phone <br /> ��oC3�`c'�9t9 ��S �� SoS. a8 <br /> Slalo License Number ConUact Price of Work <br /> Ceww+�fcl� � t CoI�ZrJ <br /> Proposed Use of Build(ng Contad Person (Pian Review) <br /> Description of Work to Be Done: TfDVc�2 O�nd. .Y�G��� �TI�K—� �L� �.v�C)1� �R'�JE'_ <br /> n�P�uw� �O .�-„�e c \\ ( �-�-�C.a,�� wc�nw� .h� Lr�cn:--�{�-� � <br /> . ., <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �O � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify fhaf/have read and axamined fhls applicallon end knowlhe same fo be We end �I���^ r � r � <br /> coaect. All provisions ot lews and ordlnances goveming fhis type ol work will6e comple(ed � l't <br /> whether specified hereln or not. The granling o(a perm�t does not presume to gfve euthority to <br /> viola(e or cancel Ihe Provisions o/any ofher s�efe or locel lew regulafing constiuctlon or the <br /> performance oI construcffon. That I am authalzed by fha owner o/(his property to peAorm the <br /> work lor which applicatfon!s made and I comply wifh the Slafe Confractors Law 18.27 RCW end <br /> 296.200 WAC. <br /> � ���2� yf�b��ra <br /> s�grwwre� oate <br /> �)� C�,�� �� C�l�i� 4f �S3 —a6l _ y�J�8 .—�cir ��M�n—�- . <br />