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JUN-29-2009 02:21P FP01•I:E-TECH IJW 2062446452 70:1��Sc�7'�==�E7 r^.c <br />ELECTRIC�4� PERMIT APP�.ICA <br />CfTY OF EVERE; `r PERMIT SERVICES <br />32C0 CEDAR STREtT, EVERETT, WA 98201 <br />425-20'-8610 - FAX 425-257-8857 -www.everettwa.org <br />6--a��-�'i <br />404 ��e.rei�- r�a �( e- 3�� s <br />PROJECT ADDRESS <br />5+ra f1' Foc-d C� uP I�O GU�`�rt,k�E A�/E . N��. �` <br />owner <br />MaIIACdress C� Cil / ��\a QUIS1ate2ip <br />w.� io (J�� <br />C��� <br />7�'Sr� -S <br />Phone <br />c ` '� - <br />� ;/i I 1( i' `tf' v' (ll.%C•�l lJ L' •-� <br />Tenant '��� MallAatlress Clly Slote/Zlp Phone <br />E�e c+r�cQ I-►ec In .�o I�;es rUer-�wcs-�— <br />Eleclrical ContraCtOr M il Atltlross Cily Stnlr.2ip Phone <br />�LEG( %1V °jS/ �D <br />Sta�='_:,:ense Number <br />. Co+'r� w�Ei!'C i Q � O'F'% C E` SP4G Ci' <br />Proposod Use of Eiuilding <br />��p � <br />Conlract Pricc of Work <br />Contact Person (Plan Reviow) <br />Descriplian of bVork to Be Oone: IQ ELOC !i 7'E (� O'7)�-� g--/j q�.�,�( ��/T_) �� fn'f'S <br />"it, 4CC01Mao�a'I�-P CGIANQP L'L�, /uQ11 IQ�/[S7%'I-" <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITV OF EVERETT LpCAL SALES TAX CODE 19 �106 <br />I hmaGy eni(i/y lhal I hav� �eUd rind uxarnined Uiis applia <br />correct AIlprovisions ollaws and ordinences govemmg <br />whufhui spoci/md Iro�uin or noL Tha yrunfiny o/o ponnd <br />violato or cancol Iho provisions o/any othor stofe or locnl <br />poAormance ol consbvc(ion. Thaf I em au(horizod by Iho <br />worN /or which applico(ion is mado�ynd I compty wifh Iho � <br />290.200 WAC. _ // <br />ond knowlhe same fo La Imn end <br />Ipe o! work will ba comp/oled <br />� no(p resume to giva oufhonty (o <br />ggulating conslrucGon or Ihe <br />or o! fhis p�opnrty lo p�r/om7 (h� <br />Con(ractors Law 1827 RCW and <br />� <br />FEE <br />�o�o�-- i � <br />