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07/28/2011 11:56 4254897996 HOME RUN ELECTRIC PAGE 92/02 <br /> l `. <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVEFtETT PERMIT SERVICES � --�- 8-- I/ <br /> 3200 CEDAR STREET, EVERETi, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—�•everettwa,ot„ ��J U i�-� 5� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �� (�`�'o�,�:r� �Y' <br /> PROJECT ADDRESS <br /> ��t-�Z r-\ ���C�UI.�'n �` r 41J� � �`A �-I U<�� Phone <br /> � CitY State/Zlp <br /> Ow08f . Mall Addtess <br /> ♦\ �� �� <br /> i\ _ <br /> 7enant � � MallAtldress City Stale/Zlp Phone <br /> 4rt��� '�,� �a , 4�� r-�; � t�t.G P (` P,c�L ��—I 'i�c`c�. , �'+ � <br /> Electncal Conlmctor h7aii Aadress Cily State2lp Pno <br /> � <br /> �b�c. �R_Q—`�.G-1`-\�`�. Sf22�3 � n �'1 `��O <br /> State Liwnsa Number ConVact nce of work <br /> �1 . S \—.�— . M-ko �m:'�h —:�'ta-$rac%��`4'-1 <br /> �������1��� � Contact Person (Plan Reviaw) <br /> Proposed Use of Building <br /> "h �-�� vX ti �r` C� 1--T S.Y CL <br /> Description of lNark to Be Done' '�w E'Jr , <br /> � , � � ` �,r-F=�Cm�h-��-�\\ 11e�:.� c�CY�'R-[���i <br /> 1~AY �� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE _� <br /> BE IN RAGcWAYS, MG OR AC CABLE. <br /> CITY OF EVERETT LOCAL S�LES TAX CODE IS 3705 <br /> f he,aby cerYily fhat/havo read and examined tfds application and kno�v fhe sarne to De true antl <br /> carrecf. All provis�ons of faws end ordinences povemrnq this type of wark wrll be completed <br /> whother spacrfied herein or noc The grantinr�ot e permR does notp resume to give auBlonty to <br /> violat^or cencel the provisions o1 eny other sfate or local law regu/ating construr,(ion or fhe D <br /> pedormanco ot construcuon. 7hat i am aumonzed vy tne ovmer of rhis�roparty to perform the � <br /> work Por�vhicN applicaGon is made and:cornpty twth tho Sfate Contract�.�rs Law 18.27 RCW snd � <br /> 286.200 N'AC. �0��� <br /> .. ���a_. '-� � <br /> Slg aWre Date . <br /> � <br /> '�A <br />