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08/16/2010 15:05 4254897996 HOME RUN ELECTRIC PAGE 02/02 <br /> � ' <br /> ELECTRICAL PERMIT APPLICATIAN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-5857-www.everettwa.org Q—l7 -10 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C /DOS`�n1p1 <br /> v���Q � �l_���'c� ,�.'fi <br /> PROJECT ADDRESS <br /> L\ ���r'c�G'�c-� �'-��� ` �t.�.�'�"Cn� �S'�'1 �C�.`� iL�'�Tc � � <br /> Owner Mdil Atltlress Gry S1a1e2ip Phone <br /> �'l.Yc1N� <br /> Tenant . A1ailAddress City StatolLp Phone <br /> -� ��,��,��„-, 441��; � �u�, PU P�n��f ,-�ri ��1 , ,.,c�- -�t"'v� � <br /> Eloctdcal Contiactor Mau naarees Ciry � State�vp T Pnone <br /> �4�s ^.(�1�G`Fi I <br /> �0 t�r,�.Z. (L�1���. ��iG� <br /> Stele License Number • Contracl Pnce of Work <br /> �T]`h�.F.- 1�'l�,Ywi�i,i �E,'S . �. -S`s F� �.�r�.;�� `1g�lt5Fi� <br /> Propo6 so of Builtling � � . Contact Person (Plan Review) <br /> Doscription of lNo�k to Be Done: � <br /> \ <br /> r�\cc•u_.� 2bA-h._.�� C.tcz�.�:.�`�' �x �Gl�e.e.�Nr�_ 1•�::1—ti^rc�t'�i-'�u-.'�� <br /> N07C-: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN FiACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I Horeby cortily mat!hove rcad and examined this applicallon and know the same to 6e hue and <br /> rnrrect Afl pmvlslons of laws and ordinances goveming(hls rype ol work will De complotad <br /> whether specffied herein or nof. TOe granfing of a penmi doos not presume to give authoriry to <br /> violate or cance/the pmvisions ol any other stete or locel law roqu/afingpconstruction or the <br /> �o�rk�lorWlnch app�ic,tion�s mede�end I comply wf�ilhe 3ta e Cont�c(orspLe�iB 27 RCW and <br /> 296.200 WAC. <br /> C"i �� <br /> --., ' .:� �-�� �� =� <br /> nature �aio � "�'� ' � <br /> ��� �,:� <br /> / <br /> I <br />