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28/2009 14:21 2067061931 PUGET SOUND SOLAR PAGE 01 <br /> ! <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVES2ETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-BB10 - FAX 425-257-8857 —www.evereltwe.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> � �/ 0 / /L� � Ci'1�-L ULifi�D�V�" W!"T / 0 ^�O I <br /> PROJECT ADDRESS <br /> o��...��.�- 3 si � �re�'.� �- �,�-,�.�t� l�R_-9��01 - <br /> pwne, O' IdeJ Address C�ty Slete/CiP N�G��O . <br /> y1�-33`f-y�7�' <br /> Tenanl/J� � (`_ _ � (`��}uqntlnress Gry 51aie�Z�o Phnnn <br /> �� -S `��u �,I���l � �,/�� <br /> ���i-Qrn�� �Shcl S�!) g �A �Z.r �it� � S�'R�GJ/� ��f U 7 <br /> ElpCiriCal CONra . f tdnil Address C S:a'O�ZiP Pho e <br /> n� , f�� �v(, -706 -�93� <br /> �nx.� A <br /> �u�F rssq�za�K � . . 2z�6yi . <br /> Stale License Number �� Contract Pnco uf 1NuA� � <br /> ProposeA Use of Bwla Contnct Person (Pian Rev�ew) <br /> r /,/� ' �' � / <br /> Desaiptwn ot Work to Be Done: NS ti���t�c_-d�( 10�-� O I S�On _ Q/��CG�tL /)/� �04� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TA7(COUE IS JiU5 <br /> 1 Aereby ceN�ry thaf 1 bave resA and exsmined fh�s appircafron ano know ihe seme fo be flve end <br /> correcf. A�l prnvisions o/Isws ana orziinanres govermnq tRis fype ol work will be complefed �O`1CU -01� <br /> whath?r spr.r.�6ed herein or nol. The grantin9 n!a pc.mrt Anes no1 rpsume lo g�ve aufho�fy t0 <br /> vrolafe or cance�fhe prows�ons o�a -otner stare or bca��aw regu�fmg r,onstrucram o�rhe <br /> per�ormance o/consfruchon. Tbaf am aulhorized by fne owner o�fn�s property�o pe�form lher <br /> work(or whicn app�iCe��o dd Bnd!comply wilh the Sfafe Con(rdC�ors LB�v 7G.2%FC W dnd <br /> '2(X1 WAC. <br /> i <br /> / k, 2. <br /> �qI1 : d'P. <br /> I <br />