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Jul.11'. 2009 11:58AM Lieht Dottor <br />i <br />No. �'678 F. 1/2 <br />ELECTR�CAL PERMIT APPLICATION <br />CITY OF EVERE7T i'�RMIT SERVICES <br />3200 CEDAR STREET, EVERETi, WA 98201 %—1 �`"Oq <br />425-257-8810 - FAX425-257-8857—�wnv.everetlwa.org �p�`O`��j,. <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�2�� N�ss�� �- <br />PROJECTADDRESS <br />��ir��1ey an�����f,�"�S �21�0.55QJ5�" �ve,r.� <br />OWf10f A1eil Address Clly <br />\� � � <br />Tenant <br />L' `i " c��of 2( i <br />Gecl ic.v ConVactor <br />tduil Ad4f85E <br />�6 66rH <br />Meil Adtl�6S5 <br />L�G�NTDL�tS�I ��_ <br />Slato Liconse Numbar <br />I�,��a�S 0����� <br />Proposod Use of duilAing <br />Descriplion of Work to Be Done: r <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAI'S, MC OR AC CABLE. <br />CITY OF EV[RETT LOCAL SALES TAX CODE IS 3105 <br />I he�eb ceriily fhst 1 have �esd and essmined (hls epp/ret <br />co�iecf All p�ovisions olla�vs end ordi�iances govornu�r� i <br />�vhothorspociliod haoin ornoL 7ho gr. ntin,q of y pormd <br />Nolate or r.oncel thr provisions ol ony otherstafe orlocal <br />Work for ���•h ch ti ��l caf On�s n �f do and I oom� IZ6� h fhe�' <br />296200 WAC. np p y <br />�i`�� <br />Clly <br />Clly <br />rp�� <br />� 2dl <br />Slate2lp <br />Slale2ip <br />Slafe/Zip <br />'Ph�e <br />Phone <br />�f 25 y�i <br />PhonO <br />��P37�16 <br />Conlracl Price ol Work <br />s�a��. �� �-, �-k <br />Contact Person (Plan Review) <br />i and know Ihe same to Oe frue and <br />type ol tvork �vill be complofed <br />is nof resume fa give aulHority to <br />� roguPatin p consvuctron or the <br />ner ol fhis property fo pedarm the <br />e Contrsc(ors Lew 1827 RCW and <br />�-�0-6� <br />FEE <br />� � a�� <br />=C�1p �-G �lt% <br />