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06/?8/2�12 15:11 2534758886 IDEAL SERVICES INC PFGE 02/02 <br /> i <br /> ELECTRICAL P�RMIT APPLICATION I <br /> ClTY OF EVERETT PERMIT SERVICES i <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—w�vw.everettwa.org <br /> i G _ � `�—!Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> C,,�l ZO�—f�2 <br /> i <br /> � � �6 �� 1�vr�;r�E-� N'�r..lk t-vt,-� �!-� <br /> PROJEC7 ADDRESS ' <br /> Owner MallAtltlress City S�aro/Zip Phor.e <br /> g��1 �a-{-� � ��Q /� 5�m-� <br /> Tenant Mai Addmss Cfly SUte2ip Phone � <br /> �`de1�c. �e,vv�tr.o cnc, 5�13 P�c���� i-4v.�� � � �53 -���5'e , c,vY� �B�E� _ <br /> EleclricalConiractor MoOAddress Ciry - StelelTp Phono <br /> �'��n�-S I �I f J � _ �fLYG�� <br /> State Llcense Numher Contract Price of work <br /> . i �.� �� �f'CL� �Z.G�+/ <br /> Propese�ding � � Contact Parson (Plan Review) <br /> cc,I:�pc,��J_' l��pOd <br /> Square Fooeage(If residential nsw constmetlOn,mmodel or additlon) <br /> Clr��r�e- �'r �l�- a,nDt 'e.�'� �(:'qI,�;I"J <br /> Oescnplion of Work to 0e Dona: _ ��' <br /> -��.--.T <br /> _`` I _— I <br /> NOTE: WIRING IN NON-DWELLI�GS IS REQIJIRED TO FEE I <br /> BE IN RACEWAYS, MC OR AC CABLE. I � �SO i <br /> �� CITY OF EVERETT LOCAL SALES TNC COOE IS 3105 — <br /> ; 1 hereby certi(y fhat I have read and exemined this applrcat/on and know the seme to be trt�e and <br /> conecG All provlsfon5 o�/aivs and ordinances go��orning this type o7 wo�k wlll be comp/Bt9tl �I �� Gi — + O� <br /> whptherspecf0ed herein or not. ne g/'anling o(a permrt does not presume ro pive authonty to <br /> violata or canco!�he prov/slons of e.ny ofher sfete or/otal law r�y�dafing Conslrvclion or th6 <br /> pedormence of wnshuc(fori. TNot 1 nm authonzod hy the owner oi<hls propurty ta perfortn thv <br /> urork lorWhir spplication is mad2 nnd I comply with the St�te ConLac(ors Lew 1827 RCW and <br /> I 298200 . <br /> i <br /> � � � �Ci ��i �2--- <br /> � • <br /> Sig ure �ate <br /> I <br /> �- <br />