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OCT-26-2010 00:13 From: To:2578857 Paee:1�3 <br /> ( <br /> , ELECTRICAL PERMIT APPLICATION <br /> . EITY OF EVERETT PERMIT SERVICES � b ..�b <br /> �' 3200 CEDAR STREE7, EVERETT, WA 98201 �� a' <br /> 425-257-8810 - FAX 428-257-8857—www.everellwa.org C/�10,.,(5� <br /> • APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM <br /> � ��1,'�.V�i�,l�1 ��. <br /> PROJEC7 ADORES � <br /> (/'�� � � <br /> 1 ,./, �n�nnc� y�1,.2. i� a 58' 9�'"-! <br /> Owner Moll Atld�Q59 Gty SUM2ip Phona <br /> Tenant Mail AOtlrEsa Clly Slete/Zip P�onc <br /> c��'ol �.t�ic aa� 1 ' �i1P�'P$1- 1� GB?ol a�3655 <br /> Elecaieal Contractor M�ii ndCrQya aty � pnone <br /> so�zT P ��'��D7 <br /> Slate Ucensp Number Contra�t PriCe ot Work <br /> eS�ctQI �r��� ,,,e. � Shcn�-4��' <br /> Proposed Uce of Bul�ng Co tact Pereon (Plan Ftevfew) <br /> Description of Work to Be Oone: VO I dU�1.lJ r <br /> ....�— � (� a / !G S <br /> NOTE: WIRING IN NON-DWELLINGS IS REQI�IRED TO FEE � <br /> BE IN RACEWAYS, MC OR AC CABLE. , �' <br /> CITY OF EVERETT LOCAL SALES TAIC CODE IS 3106 <br /> 1 he�aby ceRify thrf 1 have rced and examined fhls application and know the same to be we encf <br /> correct. All provisions ol/ewa end ordlnances qOVOminp fhis fype o/work will be complefed <br /> whether spedped hereln w not Ths pranliny af a perm�t does notprosume t0 ylve authorffy f0 O�I� <br /> viofefe a canc4I fhe Drov/slons 0/any other yfet�or locivl faw ropulaNnp consfrucBon ar Ihe l`/V <br /> peAormenep ot cons[ruclion. Thet 1 am authoriiEd Dy the owner ol lhis�roperly fo pe�lorm fhe i ' �(Jr <br /> work lor whlch applfcefion is med��nd I comply wltA the Sfefe Confrac ars law 18.27 RCW end Y <br /> 296.2 WAC li <br /> � � �� . <br /> �l�'�N�-roCc.�kQ 4 a5�1� : , - <br /> (,,..�� I� � ` <br /> , <br /> � '�..�'h`�.�'.�l�'�u�'�" <br /> _19-)� �tQn�� <br />