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Sep-02-09 09: 1OA P_O1 <br /> �"\ <br /> ELECTRICAL PERMIT APPLlGATION <br /> CITY OF EVERETT PERM�S' SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425•257-b857-wvvw.evereltwa.org �`a_D � <br /> APPLICqTIONS ARE ACCEPTEO FROM 8 P.M TO 4 PM �Q�j'�_�� <br /> i <br /> /CJ/0 J�l U�'T� ��J <br /> PROJECT ADORESS (��S <br /> / <br /> _C.l;��n��- 9ti,pti[.�.roM �v�o ht�y .� t/�- s�l {�v 9l',2c�� °-Z�/ <br /> owno� `�^-- � 1o�CZ <br /> Mail Addross qly Sfalo2lp Pl�pne <br /> TeOant MallAddre6s City Statx/ZiD /eu Phone <br /> T <br /> � �L,9Nbs� S�l P� �` Sf�__ 3��� rFli ,d1 �'r_/ifP�� _ ?,sq �/Gi <br /> C•leclrical ContracWr Man Address Clry S�ale2ip Phono <br /> � � .�li v Z �� 2rs'� '- <br /> Slalo License Number �� Contract Pri;o ol Work <br /> � �Q�v/)a C <br /> Pro�iosed Use o(Building Contact P��son (Plan Rovi�w) <br /> Descriylion of Wo�k tq pe Dune: �,K�6 �ldd' .r�lT�'—CLC//�C U�1� <br /> —'••--�—{L .^ ..— " -_' — <br /> NOTE: WIRINC IN NON-DWELLINGS IS REQUII�ED TO Fr� <br /> BE IN RACEWAYS, MC OR AC CABLE. 4`� <br /> Sp <br /> CITY OF EVERE77 LOCAL SAIES TA%CODE IS 7105 <br /> 1 hereby certity(haf 1 haw3 read end examii�ed fhis applicafion nnd Irnuw(ha san�o to be frur�und /�� /;n <br /> corrucL �lU p�ovlslons ollaws end orclinances goveming this lype ot K-vrk will bv complefed � v�v� -�/�� <br /> wholhor spodlled heiein or not 7he grenting oIa punnit does nof �rosurne to give au(hodty to <br /> vio/u(eorcancoltlie provisionso/anyo(hersfmoor(ocellawrepultitingCOl75WCfionor111� <br /> peAcmianco o(construcfion. Th7t I am aUfhoNzed by fho owner o!Niis Pippedy fo porform tho <br /> wo�k!or which a licadon is madn anA f comply wifh tha Slate Coniraclors LAw 18.27 RCIYend <br /> 296.200 WAC. <br /> S�ture __________��D�fa//�T <br /> / ' <br />