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02i16/2009 15:20 Fd.l' 1d25J9i9080 GEDDIS ELECTRIC �002 <br /> f <br /> \ <br /> � � ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES _� .��9 <br /> 3200 CEDAR STREET, EVERETT, yyQ ggz01 K1 <br /> 425-257-8810 - FAX 425-257-8857--www,everettwa.org L n�0�� <br /> � �'P1-ICATIONS ARE ACCEPTED FROM 9 AM TO 4 PM -DEBIT&CREpIT CARDS ARE NOT ACCEPTED� <br /> � LvO � � , rYlc�in� Ui � (�r �Ju�e� :; <br /> PROJECT APQRESS � I: <br /> ;� <br /> ,; <br /> , <br /> �ab �a� l� � ��1�-18�(-�h DrS� �hof�on�,�+�. ;�nJ�4 99��0 3l�0 5108-��3Co <br /> ��. � . MailAddrass City . . ' S�tPlLP PhoI1C <br /> :i <br /> i� . <br /> Te�mlrt . � . Mail AdOress Cj{y � � . � s�P � P�� <br /> ��.dd�y �jzc;hic�. tne �zaa8-/30+�t�r,J� UG�fcJrn� 'I � <br /> ;ul� 98a5 S �a�3�a--gD�o <br /> Electrica/CoiNracOor � � MallAddrYss Gty � . . �� � stauZp � � ..p�. <br /> i, <br /> i, <br /> ��D D.Z�� q�1 i R'� � �/ 3Gro. � <br /> SCun Ucer�Number Contrnct Price o(Work <br /> �5•p�G�Sv . S��C.nd- !i ��ot�" .��K1n�Lcrzj <br /> 'roPcnod Use of Buqding Gontaet Parson (Ptan Review) •—..�. <br /> . i; y�.�-a��-���-9 <br /> �of Work to 8e done: /1!11 ALI�� 'b7')'1 i�1b'(L`3L "rU <br /> ,.2� �e 5�o �,rid —--�_ �. �� <br /> � �C. , t�,�e I D�D C�-i ; <br /> ' �: <br /> i; <br /> �OTE: WIRING IN NON-DWEI.LINGS IS REQUIRED TO �� <br /> BE IN RACEWAYS, MC OR AC CABLE. • � <br /> , i; <br /> �'��ERETT LOCA�.SALE3 TAX COOE IS 3 f 05 �i <br /> ��5wn6 a�rtirY U�af/hnvg reud antl axamined this applica6on and know�hr ,mo fo b�Wo orul ' <br /> A11 pr�vlsions o11c ws anAorctinances govemmg this typo oI�wrx� ye completed' <br /> SpOUfiW herein w npt. The gra�rtlnq ot 8 pennK does not presumo.�prvr.aulhqrny,� <br /> datc w cance/tho ptiy(yons o/any other sfnfe or/ora/!aw requlotlng�onslrucdorr or ye� , � <br /> 'riamiencu o�carsWcb'on. Th8[l am nuNiaizeA by thr owne�of this proporry tp pur/o�m t�y. <br /> �rk tor which opplicatlon is made and/mnply with thd SfaM Cpntractors Law 18.27l�CN{gnd <br /> 16.200 WiIC. <br /> ! �--��,,,�,,, �'-���'�`"� ����/09 I' - � <br /> Dato � <br /> '' �D <br /> i' <br /> i� <br /> I <br />