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O1/26/2009 10:32 2064360155 EC WtdPANY CONST PAGE 02 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www•everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM T04 PM I ` aG-C� <br /> L=U�7 !� � -U°1�l <br /> � 1� C✓�ra��e.-�v� �"Ati ��[3 <br /> PROJECT ADDRESS <br /> � -- -�/' ('� c,�-tl w � � <br /> ✓�K. O�/ lil/"Y Y <br /> Otvnef Mall Address <br /> ��� SlatsZp Phone <br /> Tenant Maii nddrese <br /> Gity Statel2lp Phon? <br /> E� �-� zlv� - s)- �C �b�.�r� W� � �Cv� ���l�-�pr� <br /> SWto21p Pnona <br /> Electricnl Con ractor Neil Address �'ry - <br /> tr r nvtn� I'-1�RA <br /> ���--- Controct Price of Work <br /> Sta�e Lir,en6o NumbBf <br /> �,�,-� i�l� t-e <br /> Propocod Use of Bullding Conlact P�rson (PIRn RevieW) <br /> �escrlptlon of Wark lo Be Done: 'G � " �� � <br /> NOTE: bVIRING IN NON-DW[LLINGS IS R�QUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY Of EVERETT I.�CAL SAl.ES TAX CODE IS 3705 �� /` <br /> �o/� �'� <br /> 1 horeby cBrYi/y thpt I hnvo mad and exdminetl fhls eppllc3t/on and know lhe same fo 6e tnie Bnd 11 <br /> corrvet, A/l provlslons ollaws and oNinonces govem/ng thls type o!work will 6e completed <br /> whether'Spoclfled horein ar noG The grenting ol B pomirt dces nat prosume fo give euthorky(o <br /> v/olelo or cancol tho piov/sions of nny other sfafe orlocal law regulating mnsWction or fhe <br /> podormanCo ot conslNction. That I am auL`onzed by Ihe OWner o(fhis properfy to pedartn fhe <br /> 29G 200 WAC oppiicatlon Is mada and 1 compty with the Sfafa Confractors Law 18.Z7 RCW and . <br /> . <br /> `�a'��� �1 <br /> Ir iture ate <br /> I <br />