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09i23/2010 15:17 FAS �002 <br /> A�'r� . Mo�t i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVIGES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org q� 7.3��� <br /> APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM G�O� /`I I I <br /> /� p�l FtG �i� <br /> PROJECT ADDRESS <br /> Pub�T ,�...�.�o k�a�yc,�r� ioii P�e,� ��r, w�- 9Q2e/ <br /> ONR10� MOiIA00M6i CRy Iatl2ip PhM! <br /> SI���rrlF, <br /> Tenant Ma11AAdnss GRy St�NZp Phon� <br /> R�►kr �,.�� �r�Ltf4�t�e ��-�-I��Aat�O�. �oa..a�wvrr� 9FiFf� <br /> EICCVICBIContf�Gtor MailAtlOress City Sbte2ip Phone <br /> '�Gp�SrST-�ddS <br /> Rl6�+r wPoosC� �S' <br /> State License Number Contrad Price ot Work <br /> Pmposed Use of Bulltling Conted Person (plan Raview} <br /> Desenption ot Work to Be Dona: �til (/D[.r�� �f��� U/L!i✓( � �s <br /> Qr TL►P ,t��l c7S. — <br /> NOTE: WIRING IN NON•pWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CI7Y OF EVERETT LOCAL SALES TAX CODE IS 7105 S� � <br /> I hereDy certAy lhaf I have read and eaamined this applicafion entl know fhs seme fo be hue and � <br /> correct All p!ovisions uflaws and ordinances govemrng this rype af work will be complefed �OO�, �I' <br /> �vhntbsr specified herem or noL The granting ol a permd Oo�s not pnaurtn fo givo authoriry fo <br /> viofete or cancel tDe provision of any ofher stafo or local law r�guletinp conshucfion or the <br /> perlormance of cons(ruction. �hat I em authorized Dy the owner ol thls properry fo peAorm the <br /> woM/or whrch plication is made and I comp�y wrm tn�Sfafe Conbacrors Law t8.v RCw and <br /> 296.200 W � <br /> t e Dat <br />