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SEP-30-2011 07:37A FROM:PROFESSIq_'�� ELECTRI 360 435 1182 T0:4252578857 P. 1�1 <br /> � � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �34 _�� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ���D� �-f '�t � <br /> 425-25T-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FftOM 8 AM TO 4 PM <br /> R�T ADDRESS �� <br /> � /V !j{,/t./'I/ f `- `Jrl c � � <br /> Ownar AAall Addresa Clty SWIe/Zip Phona <br /> : <br /> � Tonant Mail Addreas City Stete2lp /' I=�O_ Phone <br /> w ��O�O <br /> ' � .-.•.. � � .� T.,. c �os3 y' /.* Glli4 � �J <br /> E CIdC91 COOIreCtof Mell Addrean Clly Stale2lp Phone <br /> � ` - S�� ` <br /> � Stat�l�nseNumber lv � Contrac�ceofWork <br /> ; , �� r����. 3Jd d � u <br /> � P posed Uee of Bullding Contect Peraan (Plan Review) <br /> i <br /> � D scrfplion of Work to Bo Dono: /r/!/�'^ � ��v+'vv e,y,�.. fJ rtu/ ��J'e ,S'.R�� ✓ <br /> � �✓,ihc. �l�e+/ l�,.p�AiC�.s'� LR'��`7`��AG 1XYr �.D�'a /PJ Qh.� <br /> ! Q���/iOhc / l�l�i/� iry IH ClT�Q�.f <br /> iT <br /> i <br /> i <br /> NOTE: WIRINO IN NON-DWEL4INGS IS RE�UIRED TO FEE <br /> i BH IN RACEWAYS, MC pR AC CABLE. <br /> i CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 here6y cehlfy thef 1 have resd and Oxamined thls applicaf7on and know fhe seme fo be true end <br /> . conoct. All provlsions o(/aws and orcllnences govem/n thls typa ol work w711 be completad <br /> whefhor specllled hereln or not. The granNng of e perm9f does not presume fo glve eufharify to <br /> � vlolato or cancol tlio Provlsions oI eny othar sfefe or/ocel lew reguleffng consfructlon or fhe <br /> peAormance o!cons(rucflon. Thaf!8m eufhorized by fhe owner of Ihls property to per/orm fhe <br /> � wcrk lor whlch eppllce0on!s made end 1 comply wlfh lhe Sfata Confracfors Law i8.27 RCW antl / � � <br /> , 255.200 WAC. <br /> i q :�v-i � �� � � <br /> S pnatura ate <br /> I <br /> i <br />