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quc 02 11 09: �2e Frank 360659B57B p. 1 <br /> C ( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �_pa-Il <br /> 3200 CEDAR STREET, EVERETT, WA 98207 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �����--�� (7 <br /> APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> , 0 4 ,� 4,' �°a. ..:, f.�:I� c.✓u,.. �o t• Y <br /> PROJECT ADDRE3S � <br /> A.�•�,,:� �y,'�-�-r�-i3 x��31 <br /> py,�� � Mail Address City SlateZp Phone <br /> Tenant Mall Address City Slatol7Jp Phono <br /> ��oi'�hi...�t �'� ��' .T"i� L7 r/ [ .L'.✓i — <br /> Electdcal Contraclo� Mail Addresa Clly Stale/Zip Phone <br /> State License Numbcr ConUact Price of Work <br /> Proposed Use oi Bullding Conlacl Person (Plan Review) <br /> v <br /> Description at Work Lo Bo Oone: .S'i" � ��+ l� �o.�� Y�'' ���Y�— <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALE3 TA7C CODE IS 3105 <br /> !hereby cerfily that I havo read end exemined(hls eppflcetlon end know fhe same fo be true and <br /> correcf. All provlsfons ollaws and ord7nances goveminq thls typo o!work will be completed <br /> whothor speci�ed herein or not. The granUng oI e permrf does not presume fo give aufhority!o <br /> vloleteorcencelfhe provislonsolenyotliersfateorlocellawreguletingconsfructionorfhe <br /> performance of consrructlon. That f am euthonzed by the owner of this properfy to perlorm fhe <br /> �vork lor whlch appllcefion ls mede and I comply wlfh the S(ate Contrecfors Law 18.27 RCW end <br /> 296.200 WAC. <br /> ��L f / b�/' /I f <br /> SiOnature ate <br />