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OCT-23-2012 03:09P FROM:PROFESSIONRL ELECTRI 360 435 1182 T0:4252578857 P.1�1 <br /> � � <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 /> .��r� O � L� ft'P J' ✓-7v�' <br /> PROJECT ADDRESS <br /> ✓uQrt���� � .�., f �'i.,t aa�� o�,��s �..� �.�}- -- <br /> il�vnoi MailAdAross City Slalc2�p �'���.���� <br /> I �� 1� � <br /> /7!!S�iv► ,(�a� � �v�'�// �Q.C3 � �CJ �vC/19y"}' l.�� `��.�-cJ� ��9 <br /> I un.�nt Mntl Address Cily Slalel2ip �'��,;���� <br /> ���a.i1.)/YJH6 � .CIPc+ 7'�/'• c Pr�i3 � y�1 ����.1�h w� 5���.---- - <br /> n�•�i���.�ir_o�,v.cior MoilAddress Clly � $;ale/Zip I'hcvic <br /> �2t> yvY,�'v 7 7,� .�t l SY� °'" . <br /> Stati�1 icensa Numher Contrad Price of Work <br /> �.s� �s�'./ / —_ ._ .. <br /> f'rupn�,nd Use ol RulLliny Conlact Porson (Plan Revi�jw) <br /> Ct��su�plian ol Wvrk�o De Donu: �(' �A C'6 �� .sZ J ./�e� _P_ �{/ /" G1�i 7�-/ ____ ___ <br /> I �_ . _Q/s C'__. _�� I��is-1 +�_,CJG.J'� �' C'Ul� IYO / ��—L_�.. ... — <br /> I <br /> I " _' _—.. _ . _ " ' " . <br /> I <br /> NOTI WIRING INNON-DWFI.LINGS IS REQUIREDTO FEE ��� ` I <br /> �E IN RACEWAYS, MC OR AC CABLE. U <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 (^f <br /> � �u•ruby �.e�rdy Ihaf I havn reurl ond cxaminod(his appl�cuGon and know O�e same to be tiuH nnd � 1 Z� V`I �� <br /> r..nrrf �fl pio��sions o!la�vs.ind ordmances yovCrnmr�Ih�s lypa OI wOdt w/R bB ComplefBd l�� <br /> rvhofhrr spocdmd heroin o� nol rho��anfinr�ol o pennrt does nol��esumo to Blvo nuthonly(o <br /> �����.l,m: ��� r.m�col the�ro�,s�ons ulany olher stalo or�ocnl low regu s(ing consfrucGon or the <br /> /nvlt•nnJn'o JIWIIS(rucGon Thef I tim nu(haiizoU Uy Ihe owner o!�bis pioPA�1Y fo pedorm fho <br /> „�a�� t.,, „n,cb.�pu�ic,�u��n�s mnde and 1 compty wl(h tho Sfa(e Contracfors Lew 18.27 RCW and <br /> II911 2�J0 !4'AC <br /> �f;,�� .6�� %/�-s,�iz: _ _. <br /> .n,:�w��: ua <br /> � <br /> � <br /> I <br />