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JRN-27-2010 07:12A F�Ohi:PROFESSIONRL ELECTRI 360 435 1162 T0:4252578857 F.2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.overettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� %!� <br />� /7��c..�, ft /�.. e <br />PROJECT ADDRESS <br />� .. �7 /D <br />C/00%d� <br />a 1��-9��� <br />NPw/(,�v�o/ /%eriv/r.r,r�./— [r�!f � /Y�4i.TT' i='vr/Y1`l" C✓il <br />Ov:ner ntall AdAress Gp� S�ateiZ�p Ph�ne <br />�h t %�inP,J /7�✓�'//'.n� �J <br />Ton:�nl hiall Addross Clly Slalo2lp Phonc <br />/' ya r <br />/�(f/�JSi'aHG I .�/P �� P��s �t s�� 19�/..,y,�., l.vA i�'�13 33u-� ��� <br />Electrical CoNraclor Mall Addross Clry SWtr.2�n Pi,o�^e <br />,�/za,cPe r_o��,r�c <br />Stnto License Number <br />!1'�c �j�•' iG— � / o� O�� 'c P . <br />Proposed Usc nf Buildi . <br />_ /S 6 n .__ <br />Contract Price ol Work <br />COI11AC1 PP.f$DIl (Plan Revirw) <br />Descnp�lon of Work to Bo Dono: �// P,c �Pi • �.� �� a„� r• -. �� /�c' �/ <br />�^ / /. ^i-- <br />�c' �✓G�"�-� JY' �inPJ p.oEs�7`7.-.P..�'J � m`l,X.•rP_.��mce _ <br />� <br />NOT[: WIRING IN NON-DINELLINGS IS REQUIRED TO <br />�E IN RACE�VAYS, MC OR AC CA[3LE. <br />CITY OF EVER[TT LOCAL SALES TAX CODE IS 3105 <br />I horoAy cmlily th�f I havo rond and exmnlned Ihis applicalion ond know Ihe semo fo bo frue And <br />corroct. All provlslons olla�s�s and ordlnnncos 9ovornmc� fhis typa ol work K•ill bo complufod <br />whofher spocifiod horein or nof. Tf�o prentinr� ol n perrrof does nof presume to give authorily �o <br />vlolafc or conccl fho provisiorrs ol any ofhor sfntc or locol low rogu/afing cons(rucbon or fhe <br />perlormance o/ conslrudlon. Thof 1�m authoiized by thu o�ti•ner ollhls properfy lo �eilami fhe <br />work lo� which npplicntion Is rnado nnd 1 comply with fhe Sfufa Contrec(ors La�v 18.�7 RCW and <br />296.200 lh'AC. <br />-� �7—� w v <br />FEE <br />i <br />� �, .� � - D� <br />