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Jun-30-09 03= 00P P. O1 <br /> 1 <br /> . �---�---�� <br /> ELECTRICAL PE;RMIT APPLICATiON <br /> CITY QF EVERETT PERMIT SERVICES <br /> 32Q0 CEDF,R STREET, EVERETT, WA 982Q1 <br /> 425-257-8810 - FqX 425-257-8857—www.everettwa.org <br /> APPLICATIONS qRE ACCEPTED FROM 8 AM TO 4 PM <br /> � ----• <br /> - - y!v 3.Z GL7�1/Wo��o .�4.�,5 <br /> PROJECT ADpRESS ' Y2 r <br /> ��� <br /> HfNlo4� Nic�,�o�--� `1��3z G�wc������ .�4.y� �'�� �i',�� yQyS <br /> Owner A1illAtldmss Clry State/Zip Potone <br /> Ten:nt A7ail Address . ..--...(;iry State�7,IP Phon� <br /> -��!!�s� �ai � 'A.�lfz— ��L .Za / ��S' 21'p 2//�/ <br /> Eleclricol Contrec�or A1ail Addroce cuy si�teiZiu Ni�one <br /> �'��4vII / Yz 1/' <br /> Stale License Number Contract Price of VYork � � <br /> sF/�, <br /> Proposed Uso 01 Buildinp Cunlact Person (Plan RevleH�� <br /> Descripuon ot Wnrk to ec��one: �j�ll llnv ern�U r i� ��H E�� „i r. �y�fj F C, ��� <br /> _� �..t��� .�t�f�� —_. . <br /> NOTE: WIRING IN NON-qWELLINGS IS RF�UIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> �� G G <br /> CITY OF�VERETI'LOCAL SALES TAX COdE IS 3105 <br /> !hr.rvby rertily tAal 1 have resA pnd eaeminud fhrs appllcation and know lhe same tu be froe anA <br /> corruc(. AH provisla�s ot laws und orUinances goveminq this fype cf worh wiN bo completed <br /> �rhofhar specifi�N�iprom or not. Thp grvnl+np uf e pomuf does nol prasurtre fo give authonty fo <br /> violefe or cence/(hp pro��isions of any otl�er st�fa or locaf law regulef6�y consfroction or 1ho <br /> �ork lor whrch u��lic�fio���r's�me+de nnrf�l cumplyivditliyf�a 5f<�fe Cnn(iaclorspCa Y78.2�7�RCW and <br /> 296.200 WqC. <br /> Si �ure � -� - �L �� <br /> Da�n � <br /> - -. - -.-- ---- y�-/� <br />