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02/04/2008 08:12 4254885288 ,..,,_, ____ ,,,,, ,��� ��� `�� ���� PAGE � 01�02 <br /> �'_�� ( <br /> ELECTRICAL PERMIT APPLICATION <br /> CiTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE7, EVERETT, Wq p92p1 <br /> 425-257-8810 - �qX 425-257-9857-wWlN,everotlW�.org <br /> APPLICATIONS ARE ACCEpT�p FROM 8 AM TO 4 PM - DEBI'i'&CREDIT CARpS ARE NOT ACCEF�1'Ep <br /> 0 co 3 E.����t-sN v,,a.� <br /> PROJEC7 ADOf:�95 <br /> Ownor � MailAddtess Gty Srate/Z10 P�one <br /> Qi G� -k�i RRc� Uou�swk� 4Ls <br /> or�� r4 q81o'f • 3i¢I <br /> 7enant Mnu Addres.: C�ry state/�,1v Phona <br /> 6�w,wa <br /> ��g� Saa.wc,E. IBz�F Kw tS �io5 4as-�te�3a�k4 <br /> 6leclrir„vlCantraetor M�pAderoeo G�Y SGtomP Phono <br /> FE9TSESL 03205 1-Z�"J•�{LvA f 5soo.Da <br /> Stntc �Iecnse Numher Contrad PAce of Woric <br /> � Ryex zs3 -3'�'q--�ib'� <br /> Praposod Uae ot BUIldinp Centact Person (Plon Revfow) <br /> . ; <br /> DesoripGon of Work tn 8o Oono: A-D� 7a. :£!�/SPr�C .. .''i�CN�t�7'y �.SrIS�"�, �2Z- �6v�tcS� <br /> NOTE: WIRINO IN NON-DWEI.IINGS IS REQUIREI7 TO � <br /> BE IN RACEWAYS, MC OR AC CABLB, <br /> C�TY OF EVeRE7T I.00A�SALES?AX COOE 19 3106 <br /> I huoby ccRNy thAt I have read ortO oxamined M/a�ppNCatlon and know fhe seme tv bo f!ve and <br /> cDrrecf, nf!prevl„lona of InW9 and a,dlnances gpverqlnp thls type ol work w;ll be conipleleQ C�Z-"�� <br /> whothersp6cilJed he�ein or not. '�/�e�ra nBng bte perm�f dcet no!pre suma to giw aWlodly to <br /> via�efa orennce!Ih9 orovisfons of nny otRer stafe erlxallaWreCpulating co�stNcdvn o�rt�hIle�� <br /> I vn�of r�whfen ahpflest o�!s ma4ot anU 1 comply�ivdith fhe 3f teaConf�teP spLaw 1�2Bi RGWalid � <br /> 2�6.7,00 WAC. <br /> ��,_sT�s��p��c> Z-�f 0� <br /> e��nmuro , " oati� ' <br />