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05/01/2008 14:57 4252592794 SEAHURST PAGE 04/08 <br /> i <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.everettwa.org <br /> APPLICATiONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 6/6 �cC�CS �R. �r/C,P - Tl <br /> PROJECT ADDRESS <br /> E���;r �,on� ryr,��cr�Z 3�1�j c��sA��, ����Fr� �1,� 9&Zoi C'vzs}gyy- 7 <br /> OVvner Mail Addree9 � City Stele2ip Phone <br /> �,Qison� ��mF��rARY <br /> Tenent Mal AOdress City Sfaro2ip FAone <br /> j�Alfli�fi �i�r��� �9IJ�GNEfrNcrS _G��`.Err Gt/Q 9f�0/ Cy25k58�/88z <br /> Electrical Contraetor Map Addrer� City SIaEWzlp Phone <br /> S�.Auu Er('�99 a N � 9Z5,�10 <br /> State Licenso Number Contrad Price ol Work <br /> ���Noo` �A�/iE� /�3r�w.e�es <br /> Proposed Uso of Building Contact Penon (Plan Rev�ew) <br /> oexdpt�on ot Wak to Be Done: ��/S�AG�• COR/OU/_i__�AG��f/f?y GCJ2 ICGIT�I�G` <br /> �i BfR oPi ic c�B�E ENzraccAT�o,s/ <br /> NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO �„ 00 <br /> BE IN RACEWAYS, MC OR AC CABLE. �� �� <br /> CITY OF [VERETT LOCAL SAL[S TA7C CODE IS J105 <br /> I hereby certiJy fhat 1 hove reed and exom'med itds eppllceHan end know fhe same to be huF and ��,r <br /> conecl. All provisions ollaws and ordinances govem/ng fhis rype of wak will Ae comp/eted U7 • �1� <br /> whether spccil'red hcicin or not The granNng d a pormrt doos notArosume to give aufhorify fo <br /> violafeorcancelfhep rovlsbnsolanyoMersfeteorlocellawmgulefingconsfruc(ionorthe <br /> peAortnnnce o/eonstrucfion. That I am auUaRzed by the owner o/tMsp roperty to perform the <br /> work!or whicJi applieation is made and f eomply wifh fhe Stafe Co�tractors Law fA.27 RCW end <br /> 2G6.200 WAC. <br /> � /�o�.._ .�f/ �Qc� <br /> Sgnatwa / p to . <br />