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Sep 10 12 08:58a Bartlett Electric, Inc. 3f,0-579-1757 P.1 <br /> � . i � <br /> , <br /> � �7 ' <br /> . ELECTRICAL PEQMtTi" �APPLICATION <br /> CITY OF EVERETT PERMIT SERVOCES <br /> 3200 CEDAR.57REET, EVERETf, WA 98201 <br /> 425 257-88.10 . - FAX 425-257-8d57 =�wvw-everethva.org <br /> �1 - 10.- � Z , <br /> ' APPLICAT10N5AREACCF?YEDFROMSAM,TO'4PM �,:�Zp�'j _OC( '�j <br /> �� y¢, Cni �IP,yhc�.��;. �r', ' c.ver�6/, <br /> PROJECT ADDRESS � <br /> rJ-'o S�r a P�/ �lS � LcJ ��e �.:v�N �r ' t�'�e r�� � <br /> � Owner . .� . � MetiAaarns� � . ' �ry.. - - State2tp . . . Fhone <br /> Tenent. . -MailAddresa � : . �nY . . . StatdZip Phcne <br /> �� , �r �"(� 82��c �sr�i�7�(,�.r'� '�., �,�� q s2�� <br /> ElectriCai Ccnitaclor: � �Moil AAdroas � Clly� � SlefclZlp � Phono t <br /> . . 36v;5�'J�t75� I <br /> ��� �3�n�F Conlract Price of Work <br /> S�ato Ucense Number - � . � � , . . . <br /> ` ' <br /> K��En �OAM 1/••/ pN�. <br /> Pwposed Use of Bul ding Contect Person (Plen Reviow) _ <br /> ZS/ <br /> al'O,a t . <br /> Saaaro Footage pf residentlal ne�v conetruclion,remodol or adddion) . <br /> Description af Work to Be Done:.- � X ^�Gh P ��N'�-o a �-�1�- �I PC . '_�i✓n c. C P . <br /> � � � I <br /> f _ � �a . �, � � ,,,.:fT 6�„�- tQ-P.,,..� � <br /> NOT[: WIRING IN NON-D'NELLINGS IS REQt11RED TO ' �E , <br /> BE !N RAGEWAYS; MC OR'AC CABtE. ' <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 9105 ' , <br /> I hareby carhfy 7hef 1 havo mod and exominad fhis opp7icah'on end know the same fo be huo and �`'a(�-�, UC.( ,�-J <br /> carect. Afl provisJons oflnws and or�inances goveming fhfs type of wark will tio camplotatl <br /> wbetho�spoci�etl hemin arrroL The gtsnling ofa permd doos not prosunro to gHe aufhodty�fo. <br /> vfola;oorcan:efthop ravislorsofanyoUierstaioorlacullowmyulaUngconsirvchano�7he <br /> perlormance ofconslrvcfion. twt l am au[horlrad 6y tho owncrof7hls prapor(y(o performif�e <br /> work Ior which applicaGon de ond f comply wrfb the SYato Contrac(ars La�v y827 RC W�nd <br /> 2A6.20 C. <br /> c - � <br /> � <br /> �- <br /> Sipnatmo � . - . Da�e � ' . . j , <br /> � . � . . . . . . .. . . .. ..�. . � . I � . . - � . . . � <br />