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09/15/2005 12:19 2538475872 CRUSE PAGE 02 <br /> �l s � a5�3- 53t� - G 1S � � <br /> �" ____—__ __.._-- <br /> i'��k � ELECTRIGAL PERMIT APPLICATION <br /> � CITY OF EVERETT PERhAIT SERL/ICES i <br /> � � 3200 CEDAR STREET, 'eVERETT, WA 88201 <br /> �� 428-257-8810 • FAX 425-257-8857-www.everettwa.urg <br /> APPLICATION9 ARE ACCEPTED FROM 8 AfA TG 4 P�A ,, t/ .,pS <br /> 1 � 3D ��fP?2��- \1 \� �0.�1 (] <br /> PROJECT ADDRE93 'L ,2� n �-` -`�� <br /> 3r L.t-r <br /> ��Prv�.1�'- l��.sh �o�l l S� � C� St Yl�� �nr�(�� <br /> Owf1Br Meil Addre�� Clly <br /> Steletip , Pnone <br /> S `--' " I � IIOM <br /> Ta�p�� MdIACtlraU Clly Steld2lo <br /> nr�;,• r� Q84�45 2�53531oq183 <br /> �,�'„�� ,�;, t�,,h �nu��.�i�ii� Sa 8'S'` CT Fl a��__��_ <br /> Eledricel CoMrectOr Meil Adtlrefa Clry . 9teb2lo Phane <br /> �u.�-�-�c ► o0o r�,.�..�. ��5�:;�� � �oc� - :3soo . �o <br /> Stete Llcenea Number CoMrad Price o�Work <br /> ('� �� c�.� <br /> o _ — <br /> Propo�ae�Use ol BW�ding Conrn�Peroon (Plen Roview) <br /> Descripllon of Work to Be Done: �~T-�S�"�� n� 1���-C v' "' ����' <br /> �^� - � � « Sca.Pc��f S �151� L�aL-�r�c,�;e._ <br /> NOTE: WIRING .N NON•�WELLINGS IS REQUIRED TO I FEE <br /> 8E IN RACEWAYS. MC OR AC CABLE. � �� <br /> CITY OF EVER2TT LOCAL BALEB TAX COD613 7106 <br /> 1 hereby certly fhat I have reed entl exemined this eppliroflon end know fhe seme to bn bue enC <br /> carrnct All provlslons o!lawa end ordmances Oa�'emm this rype of wo�vdll ba canpfeted <br /> wh8therspecmetlnenfmornot. Tneprenhnp aleperm�l�tloe�natPresumero�i�eaut�ontyro <br /> vlolete or c9nc91 tho provfelons of eny other Ste,te or�ocel lew regu etIn9 consh ttlon or4MrRe��� <br /> pertormeWncho o/corfstructlon. 7hpt I e n aufhonie�yth f eBStele Conf'ectorsPLelv 1 B 27 RGW en d <br /> 20B 200 WAC.BppllceNon is matle end I complY <br /> lQr t � � .L.'1� l'� /4��0� <br /> pnature —�me <br /> I ,� "v5 !/ -C'Z``� <br />