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FROM :Dick Howard 8 Sons Electri�( FAX N0. :4257765895 i an. 0B 2010 02:22PM P1 <br /> I l <br /> ELECT ICAL �ERMIT APPLICATION <br /> CITY O EVERETT PERMIT SERVICES <br /> 320 EDAR STREET, EVERETf, WA 98201 <br /> 425-257- 10 - FAX 425-257-8857—www.everettwa.org <br /> APPLIC I IONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> _' 32 �eC.��� , ,�e. <br /> PRWECTADDRESS I <br /> ���c�7 �vY. , <br /> Owner MailAddr �s Ciry State2ip Phone <br /> r � <br /> Tenant Mail Addr �s City \ 51ate2ip phone <br /> � rc� � I � 2\`��S�nl L' nr�cxJ `��.$E L� S �1 g <br /> EleciricnlConiractor MailAudr �s Ciry Slele2p Phone <br /> � k� S 2.R � 2.000°0 <br /> State License Number Conhact Price of Work <br /> Y1 �1P Y� �'t�Y� <br /> Proposed Use o(Building Contect Person (Plen Review) <br /> „ l r <br /> 1 P <br /> Oeccription of Wak to Be�one: 1 \' � p� `� 1 � �O <br /> � C/��.�.. �1 � \ � <br /> ��- \ 1.�o I _ <br /> NOTE: WIRING IN NON-DWELLINGS I REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX C q[IS 3105 <br /> I he�e6y certily fhet f have reud and exattllne Ithis applrcefion and know tho sama(0 6e hue and <br /> cnnect. All provisions o/laws anA ordinonce•'goveming f/ris rype ol work will 6o completed <br /> whetherspec;fioA herurrm urnot. The grentin o(a permrt does nofp resume fo give outhonty fo <br /> Wolnte or cance;lho pmvisions of any other ate orlocal law regu7oting consWctiai orthe <br /> perfomience ofconsnuction. Th (I em a Ir nzed by fha owner ol(his proporty to poAomi tha <br /> 296 200 WAC np licafion is m e and m y with fhe Sfata Controcfors Lew 1827 RCW and <br /> ' -� �-�s-to �ao�- o39 <br /> � � � <br /> ynature I Date <br /> � ' <br /> I <br />