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Mar-14-11 09:03A _ P.O1 <br /> � � <br /> ELECTRICAL PI�RMIT APPLICATION <br /> CITY OF EVERETI" PERMIT SERVICES �iu`�� <br /> 32Q0 CEDAR STREET, EVEi2ETT, WA 98201 3 <br /> 425-257-8810 - FAX 425-257-8857—wuvw.everethva.org L��p 3—D� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> G� z y_���o �L ^ %>1' <br /> PROJECT ApDRESS �,J/ <br /> i Co <br /> ,�✓ <br /> s'�i � ,n cn Af� /,ci,�, �t�N.�.,,T..Ga�v .�t,�,,va� J�c �u ,5�e'.S q <br /> Owner Mali Pddrcas Clty $tate/Lp Phon� <br /> Tensnl Mailnddross �Gly Slate/Lp /,,1, Phone <br /> 7 <br /> �E�i�{fu��,�k _Shtr� � J'hK�icL �W�i �'v ./1'i �v ��i afq -�/G� <br /> Eloctrical Contractor Mall Ad�rca� City 8iete2ip Phono <br /> ��ki.�-tirs�yz�� �rcTva.� o� �o�� ���� <br /> Slete License Number Contract Price of Work <br /> fF'IZ . <br /> Proposed Use of Building Conlad Person (Plan Review) <br /> Descriptfon of Work to 8e Dono: _ �� A � '� C7(�j'(f�]�I' �/1 o U�(��� <br /> ` �or�F TrS�.�,v�_c lrlc��.7 -- <br /> NOTE: WIRINO IN NON-DWELLINOS IS REQUIRED TO FEE ` I <br /> 6E IN RACEWAYS, MC OR AC CABLE. ���a <br /> CITY OF EVERETf LOCAL SALES TAX CODE IS 3106 ' r <br /> 1 her�by ce��fify the!1 have read onAexom;�od fhls eppfic�(ion nnd unow fhe same fo be frue and �= 1103-O�$ <br /> conrct. Alf provlaions ollaws and ordlnencos Qoveming this type c/work will be comp/eted <br /> whe(her spocflled herofn or noL Tho granUnp a/a perrn7t does not >r�sumo fo qfve euthority lo <br /> viofefe or cencel fBa provisions ol eny other stafe or/oca//a.v regul itq�p consfructlon or fho <br /> pedonnance of construction. Thef 1 am authorized by tho ownar'o/this prope�{y to per/omi thn <br /> work for which application/s modo and!comply W/th(he SMh+Ca7,n�ctnrs LaW 18.27 RCW and <br /> 296.200 WAC. <br /> / <br /> 3 /Y � / <br /> ipn re �o ` <br />