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RUG-23-2010 04:19P FROM:PROFESSIONRL ELECTRI 360 435 1182 T0:4252578857 P.1�2 <br />ELECTRICAL PERMIT APPLlCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9B201 O <br />425-257-8810 - FAX425-257-8857–www.evereltwa.orc� O ��`�b <br />APPLICATIONS ARE ACCEPTED FRO�A 8 AM TO 4 PM C�O�—I <br />�30/ h6� <br />PROJECT ADDRESS <br />j�'� ,Gp:��Co�� /�'i�.o�� ��,�`- �✓� 9�'a�/ �s-�-yia9 <br />OWnor � F.1aII��dJrous Ct!y Stale2lp Phona <br />. ��o/ /��,� <br />Tenanl Mall Address City Stale2lp Phona <br />-S�O <br />�?�o�'�.�s.o,� /,�i�e�,� n� ✓°o,a � y�i , �i�.,�r5h �/t ��aa3 i��.r=so <br />Eloclrical Conlrector Mall Addroas Clly Slalo2lp Phono <br />�l� o s%.�` rv '� 7,�-f /� DD .... <br />Slalo Uconao Numbor Controct Prico of Wark � <br />�l1v�G � <br />Proposad Use of Bullding <br />Contact Porsan (Plan Review) <br />Descrip0on of Work lo Oo Dono: �STo�� />Pvi G'' �/'C�� 7f 7`�'✓ v�'/J"�wieU �lPi <br />_(.!%4 %rP/ %JG� �Pi .!� G G'7 J' i(y' / i r .� 0.1Y! ir+ Pn f�. �'c �G� <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIREp TO PEE <br />BE IN RACEINAYS, MC OR AC CABLE. �� `. � <br />CITY Of EVERETT LOCAL SALES TAX CODE IS 3706 <br />�� l horoby cmtlfy that I havo road nnd exominod fhls nppllcafion and know Iho snmo to ba fruo and <br />conecf. All provlslons o(laws nnd ordinnncos povontlnp fhls typa of work wAi bo completed <br />whofhor spocl7od horoM ornot. Thu prent/np ol a yormif doos not resumo to ph�o authorlty fo <br />vlolafo a cenco/ tho provlslons ol ony ofhorsfaf� orlocallow ropu�fing censfrucfla� er fho <br />perfamienco o�construc0on. Thaf ! am au(horized by fhn ownor o/Ihls propaity to pe�fonn fhe <br />' work !or �vhlch np��l;caflon Is mado and 1 cornply v;lfh fho Stnlo Confrac(ors LaH� 1�.27 RCW nnd <br />� 29G.200 WAC. <br />�"-d 3-/e <br />