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JUL-16-2008 20:00 From: To:2578810 Paae:l�l <br /> ( <br /> � ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEpAR STREET, EVERETT, WA 96201 7,.�]�Og <br /> 425-257-8810 - FN(425-257-8857—www.everetlwa.org �OgO�-0�rc <br /> 7 <br /> APPLICATIONS ARE ACCEP7ED FROM !AM TO 4 PM <br /> o?�� �I /a�.CJ���- � 14V�• <br /> PROJBCT ADDRESS <br /> 3� _ <br /> ����-���� a�rq N�; +� ,�v�- ��.e�f ��� G��oJ ���-oo�� <br /> Owncr MailP.ddross City :Wte/tip Phane <br /> � S�msi <br /> TYnant MauAadress city gtate/z;p ��`phma <br /> J <br /> .Son�}ro( Pc�c.��t., aa,�� C'it,(��O�,�aSf �'-�_�� �tBzoJ �-,�(�65 <br /> Ekcldral ConL'ador �� M�II Atltlress Cily SWle/Zip Phone <br /> SoNrtP �9����7 � 3 3�'0 <br /> Slale License Number Contracl PACe of Work <br /> D��1�C� �e/1 She�-�� <br /> Proposed Uca of Building � � � � Cpntad Person (Plan Roview) <br /> Dosutplion af Work to Be Done: ��l� V � l�,Q. �'�l.w �• 7 �l S� <br /> � <br /> NOTE: WIRING IN NON-DWQ�LINGS IS REQUIRED TO �E <br /> BE IN RqCEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT I.00AL SALES TAX CODE IS�105 <br /> 1 hereby ccrtih�tha!!hava read and exeminod this appllcetion and know fhe same to bQ Uue and <br /> correcL Af!proNslons ollews end ordlnence9 Bovemin9 Mls type ol work wIH be cpmpleled <br /> whether specifieAheretn or nof. 1)�e prontlnp o/a perm7f das nof rosume fo pive authorlry fo / <br /> violafe or Cancol the provlSipns of any oBier stat9 w locel law repuPfin9 cons Wdion orfhe (JO� _ � <br /> peAortnence ot construction. Thaf 1 am euthorized by the owne�o/fhis property fo petform fhe ;( 7 <br /> wonr lor w ich applicetion is m�tle and!compty with fhe Sfefe Conhacfors Law 1B.27 RCW an0 <br /> 296 200 C. - <br /> �' ��� <br /> re^� n n w '' Data <br /> I � �-f+lJl.�� I�l�[.�. ` � <br /> � � � �ve pr�c� 6P ��'� <br /> �Izs- �i� �&� � � <br />