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Au8. 29. 2011 9:OBAM No. 0486 P. 2 <br /> —� <br /> ELECTRICAL PERMIT a►PPLICf�TION <br /> CIT'Y� OF EVERETT PERMI7 SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> a25-257-8810 - FAX A25-257-8857-www.everettwa.org F�„af�j_�� <br /> b <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM G��a g--��� <br /> i�.o c� �+-b�+ -A�l� , EJe�ett q 42.0 � <br /> VROJECTADDRESS <br /> N�-� k�xd..0 � .xnt, N2�43 883? <br /> OWner Mail Address Cily Siatel2lp Phork <br /> Tenent MailAtltlress Clly State2ip Phone <br /> CN1 �A'�YLi (nC 1'�1`� 13r0ac�u�.0 `�IPX�1�' Ul7A-Q82()I �25�i�o�c <br /> EIOCtfICelCOntf8Ct01' MailAddress Cil�^ State2ip PhOne <br /> CM4�MN�qoIG�i t��4�3�a o <br /> State License Number Gon(ract Price ot Work <br /> Proposad Use oF Building Conlact Person (Plan Review) <br /> Descriptian oI work to Be oone: _l Y1S'fA�� Q QS 'N rhQ.�.Q, � 'S-l�T � �1 �J <br />. <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CI7Y OF EVERETT LOCdL SALES 7AX CObE IS 3105 <br /> 1 here6y certiry that I have road and examined(his applica6on and know Ghe same(o be hue and � 11� $ _ 1 �a <br /> conect. A/l provisions of laws and ordinances govemmg fbis ry'pe of wak wl/l be complefed <br /> whefher speciTed herefn qr not The granfing of a permit does not presume ro give authoriry to <br /> violate orcencel the prov�sions ol eny other state orlocal lew r�pula!inp construction or the <br /> peNomiar.ce o/consfruction. Thaf/am authonzed 6y the owner o/thls property to peAorm fhe <br /> woik for which apA��cation!s made and I comply with ihe State Con(raclors Law 18.27 RCW and <br /> 2�J6.200 WAC. <br /> �e�b� ��� <br /> 82Q•lf <br /> �ignature �ate <br />