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From:Seatac Elec�ric ( 2538724112 10/`��2010 16:45 #545 P.002/002 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 ���.0 7"� <br /> 425-257-8610 - FAX 425-257-885'—www.evereV00VQf�g <br /> Can�p..o3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> S('3c_i: �1t -2.r �-� �r-G � 'A"�Jr •�n�l <br /> PROJECT ADDRESS <br /> Owner MaitAddreas Clly SlaleMlO Phone <br /> "i25C-C i'Itv��G'� S�e2_ 134� � 'T S.J '���ItC� f JC-�c� [�✓1 9&{Yl- AZ.�i•- "14Z�Yn:'L <br /> Tenenl MailAddrocs Cly StateAMp Phone <br /> �r-�.�Tt�C �ir.r'a�<c__ �I.CS�.: :� 2Z "^ST� KCnT �ul•'1 `i$3L ?3'3 b"12y'�'� <br /> Electrical ConVactor Mall Addrou Ctty StateNAp Phona <br /> c,;.rc-yr-r.�-c'I�a.J 3j,,�rio cYx` ���� <br /> State License Number Contnct Prlce of Work <br /> • 4•c_.1�.� �I,a���e�aiZO. <br /> c-_- .r. �"aaCF !" fu 1= 2C .k'C . . . <br /> Proposad r se of 6uildinp Contad Peroon (Pian ReWewF <br /> DesaiptlonotWorktoBaDone: -t�ICC�'1 -C��� �E« `���F �- `T�U�p A=F�ci"..�'��-1cG �h=*u���- �r-P-.��. <br /> .._ft�n h � l,�c's'ca� � ��� t��sTH�� CS��o.ati�•�G �Gci+rT+�rai+� fii�l,�in�iY-G- <br /> �... rr .�n�tS <br /> NOTE: WIRING IN NON-DWF.LLINGS IS REQr IRED TO FEE <br /> BE IN RACEWAvS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br /> I hereby certily thaf 1 have read and axamined this application and know fho same to be We and <br /> carect. All provisions ollews end ordinences goveming fhis type ol wwk will be completed <br /> whefher specified herein ornof. The pranfing o/e pertn�t does not presume to give authority fo <br /> violafe or cancel the pmvisions olany other sfafe or locallew regulating consfrucfion or fhe <br /> peKormance ol consfrvc(ion. Thaf 1 am aufhori:ed by fhe owner o/this property fo peAorm fhe <br /> work Ior which application is made end 1 comply wifh Ihe Sfete Confrecfors Law 18.27 RCW and <br /> 296.200 WAC. n <br /> // <br /> � - - r , <br /> � i e�; 0 0 - D.3o <br /> ature Data /f /D 1 <br /> �� <br /> I <br />