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Jun-17-10 08: 19A P.O1 <br /> _I t <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-2;i7-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCE��7ED FROM 8 AM 70 4 PM <br /> �S ��i� c.frf�n �C �' �'�- _ ��y <br /> P ROJ ECT ADpRESS J s� <br /> C{ <br /> G � � <br /> (c�tu �1c1 <<l.r�r� 30� %�i�t;,i�iY 6.y 9 .z��, �S <br /> Ownei hlall AdAress City Stato/Zip Plwne <br /> Tenant A7ail Aedress ~ L'lly SWte2ip ��,� phona <br /> f�1 F,S- s6br {r'v :�����...����r_ 1s'S% z�G/ <br /> Eloctrir,al CuntrucWr ldail AdJio�ti ('iiy Staml'Zip � F+I�our <br /> iz',��n tis�s/ ,� c � a rz�u ��,�u ���x�� <br /> �.� �_/.=�' ae��.�v <br /> State Lir.nnse Numl;dr CJnl�acl f�rir.o 01 WUtk <br /> IF�- �i���-P.tc.,t� <br /> Proposod Use of Buildinp Co�tac� Pe�svn (Pl�n Roview) <br /> DesCripllon o(W�rk tn pe Dune: � C-��l C �•�� � � �/�"",`M� ��f ��� V� <br /> . . . �� � � ---� <br /> �✓V1.�2l., - --'._ .. .,.._ ..._ .__ ,...--- <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED 7Q �'E� � <br /> BE IN RACEWAYS, A4C OR AC CABLE. �a _ <br /> CITY OF EVERETT I.00AL SALES TAX CODE IS 3105 (� <br /> f heieby oertily(hat I havC read ond exnntinocl fhis applicdfiun nnA Ano�r tlie serne fu bo tru�and lil v"�nf O(� <br /> caiact. Afl provisions ot laws and rnUin�ncos goveining fliis typn o'work wl!!be completed <br /> �vhefher specihod herein a�nof. Thr. gr,inMn�o!a perrru(doas nn(p•resurne tv yivo auff�onty fv <br /> vioiafo or cancof(hc provisiuns ol8uy u(flrr sfafo of IDG.iI/�K'fByulstinq conshucflon cr the <br /> pedormanco of conslrucfiun. Thaf!�rn aUtNOrized by(ho p�v�1B� O7 fhls proparty fo pBi(O!m fhe <br /> work for which a plica �on Is mr+do anA!compl}���ifh the Stafo Ccnl aclors Le�v 1R.27 RCW and <br /> 296 200 WA . <br /> � � ?��,/d _. ._ <br /> /. Sipri re .. .�....— 17i1e — <br /> % <br /> � <br />