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Oii25/2008 17:28 I�Aa 4253Jii830 �'AR\FiLI. IiLECTNIC �002/002 <br /> EL�CTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIO�S,4RE ACCEPTED FROM 8 AM TO 4 PM <br /> � � � � � '�a�Yiz.�i�i�+ t..1 r'+^( Q <br /> PROJECT ADDRESS <br /> �e�l.t.�sjvrt, l,a�sy� �•e l.l.G lBLoi ! Zr` �1-u� W Cyn�Woo�P �,r4 9803> Zo6 226 4�BB <br /> Owne� Mall Addreaa Clty Sble2lp Phone <br /> Tenant Mail Address CHy SWteZp Phone <br /> ��.r►.�t! t".�c�+�K, �{0►S S29Z �.4-Gc ��,,.,,,5 W� t�f31s� �(LS"335'7boa <br /> Eloctr�cel Conlractor MaN Address Gry State2lp Phone <br /> �ar n�a..t 9 7 gm�- 57 00 . <br /> J� <br /> Slate License Numbor Contract Prico of Work <br /> SF� <br /> Proposod Use of Bullding Contact Person (Plan Roview) <br /> Dascriptfon of Work to Bo Done: (n/!�G �l/G(/ �(,�Jv Sf '�f SF�2 Z do A ����¢ <br /> NOTE: 'NIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CObE IS 3105 „ ,� <br /> l here6y ceAity fhet 1 have read and exeminod thls applicatlon and know the samo to be fruo and � �-�'���� - l�z <br /> comict. All provlsions ollaws and ordlnances govoming thls type o!work wlll be comp/efed <br /> wh�lhor specilled horeln or not. Tho granfing of e permlt does nol presume to plve avthorlty to <br /> vlolate or cancol tho prov slons of any other stafe or locol lew reguleting consl�uctien orthe <br /> performanco of constru �on. That 1 am authonzod by tho oµmer o1 thls property to porform the <br /> worir Por whfch appllca od Is mode and I comply wi[h tbe SYete Contrecfors Law 18.77 RCW end <br /> 296.200 WAC. �' <br /> � � ; i <br /> i'� l/�^�'� 7-�s-o8 <br /> SlgnaWre Oate <br />