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MRY-19-2�09 06:23A FR0�I:PROFESSIONRL ELECTRI 360 435 1182 T0:4252578857 P. 1 <br /> � � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> ??00 CEDAR STREET, EVERETT, WA 98201 �_� g �9 <br /> 425-257-8810 - FAX 425-257-8857-www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ���5�'3 <br /> - � r.-,/x �, � �.�e <br /> PROJECT AD RESS <br /> yaJ=�.1�-G'✓J'y' <br /> P� G.s Sr.y 1 �/ L.] ../oo.-,�-. .O✓ .CvY�'� GJ� y�'�-03 <br /> Ownor Mall Address Clly Slale2ip Pliono <br /> Tenant Mall Address City State/Zl7 Vhono <br /> �/..v=3.rc-07�0 <br /> �'�OrC�,sS I�� I H J�Oe1 � .�I/ ., GJ a <br /> Electrical Contra lor Mait Address cny Slatn2lp Phona <br /> �' �� �"� <br /> �U ,� — 7 <br /> State Llcense N mber Contract Price ol Work <br /> Proposed Uae o Bullding Conlacl Porcon (Plen Rovlow) <br /> OescnpUon of W rk to 8o Dono: �,/�,r�� p /?�r� �,(i,•� S' e/'�� � e <br /> v/C r tra J�c�.--. G' �/' <br /> NO7'E: W IRIN IN NON•DWELIINGS IS REQUIRED TO FEE <br /> BE IN CEWAYS, MC ORAC CABLE, <br /> CITY OF EVER TT LOCAL SALES TAX CODE IS 3105 <br /> I heroby ceAlly 1 ef I hovo read end exemined thls applica0on and know fhe same to be frue end <br /> cortnct. All prov lons ollews and orrllnences govemin tNls type ol work wlll bo complo(od <br /> whefhor specllle fiorein ornol. The grenting ola porm�t does nof presume fo glve aufhorfty fo <br /> violetecrcenceltlie provlslonso/anyotl�arste(eorlocella�vreguletingconsfrucllonorfho <br /> performence of ons[ruc0on. Thaf 1 em euthorized by fhe owner o(fhls properfy to peAorm fhe <br /> wark lor whlch a pllcatlon Is mndo and 1 comply wlfh tho Stofe Confrecfors Law f 0.27 RCW end <br /> 296.200 WAC. <br /> Slpnmur i/� �` / —d <br /> Dala <br /> 9b���3 <br />� <br />