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09/�3/2008 07:�2 42546F -48 PtiGE 61/O1 <br /> ELECTRICAL P�RMI�' APPLICATION <br /> CITY OF EVERET7 PERMIT SERVIC�S <br /> 320Q CEDAR STREET, EVERETT, WA 98201 C� ,��_�� <br /> 425-257-8810 - FAX425-257-8857-v,nrr,v.everett�va.orq <br /> APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM C��-0l� <br /> \O 1 D $� �V r�- �� n�hu' v�+�`l � h�0 <br /> PROJC-CT AO�P.ES3 <br /> �Je4.t,-y; Mrtw�LE �1�G5 L�-� �l0 �U�%�fi� nM'u- w 1tl0"L <br /> OWner AaaJ Atldrass Cily StalofZlp Phano <br /> �{Za <br /> �Q DrMk Itir��rt;,�,�,w lDio 5e �a��-cr" ' unnu, u.+w �uteCrr 4Fw1 I�or-zooa <br /> Tcnant �.�all AGdress Ciry State2ip Phcne <br /> 2 S3 <br /> A�,ru��zrr�_ sa:��.:C-� U�ay ,�. c��P,�wy ,� �tos- r:��k,.� w�- 4nui� i�r-i��:s' <br /> [iectr;wl Contrector raaii nddre s ciry staterz�p anane <br /> '40��S�f 3'zU S QfjO.�J <br /> Stale License Number ContraC PAce af work <br /> r.c�3 !"�.x 2s3.� }�����w <br /> Proposed uso ot 6uilding Contact Person (Plan Review) <br /> oescnptionoFworktoBeDane: �^�f�'+'� 5au2�Ty 5'�ti��"'L C,/O l)EUtec�� _ <br /> : NOTE; WIRING IN NON-DNrELLINGS IS REQUIRED 70 FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � <br /> � <br /> ��I GTY OF EVERETT I.00AL SALES TAX COOE IS�105 � � + <br /> 1 hcreby certify tLat 1 heve read and examined thls app�ic�tion�ntl know fho same fo bo truu and C <br /> .�i��� - ���� <br /> I conocL A/l pmvfsions ot laws and oro'rnances govemmg this rype oi�vork�ti�ll be completed <br /> � v.�nefhor spec�ed horein of/IOt The gfnntln,q of 9 pCRnd do6s tlot Prasume to Aive au�her�ry fo <br /> �; viofafe or cancel;he oravisions of any otherslatc crlocal law re,�uls;inq conslruclion or the <br /> per7ormance o/eons�ruction. TCat I am aufhonzed.by the o�vner o(this property to pQAorm the <br /> ' wo�k Por whicr,npp;!cafion is made and I comply�vr0i the Stato Contrclors Lsw 16.27 RCW and <br /> i 29G.200 WAC. <br /> � <br /> ��.y�_c�---�.��a, �Y-!'Or� <br /> 6 <br /> ! — 5�gnawrc �a�o <br />