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� Aug. 6. 2Q09 2: 17PM Lighf Do�toi ��u. 4992 P, 1/2 <br /> ; t <br /> I , <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEbAR STR[ET, EVERETT,WA�J8201 ' <br /> 425-257-8810 - FAXA25-257-8857—ww�v.everettwa.orc� <br /> APPLICATION5 ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 28v� (VIC�,{y.4. �l' �U��'�'� —�}f������ /1�A���. <br /> PROJECTADDRESS � S <br /> owne�GlC1 �'Q7LaC�. M7P�C��reelYlf�-.PIQ �' FVL.�D�Ii- USA G�7-�l tata� 5 �4' �'l 0� <br /> Tenanl 1dailfuldross Ciy Slale2lp Phone <br /> �i'Z'rJ•�81 <br /> �.�.UIJvF DCY�tX �I�OIn W-4�'�F��IA: �1.� �'Nk lQ�t1 �•uGrs�1131� �i8C�13 �► <br /> Eloclfl IConlfaCta� M Ilpddress Ciry Slale2ip � Phono <br /> U4'�tkD�—S�hLf� ._,,�� � <br /> Slale L conse Number Contracl Price of Woik � <br /> ` (��A�1�Q. <br /> Proposed Uso of Building Contnct Person (Plan Revie ) <br /> Descdptlon o�Work to Be Done: _ V1C�,L,�UI(� �Ly_{-�p�1;�' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRCD 70 FEE <br /> BE IN f2ACEWAYS, MC OR AC CABLE. <br /> CITY OF[VC-RETT LOCAL SALE3 TAX CODE IS 310G <br /> I horeb ce�iily that Fhave iead and exomfnod Ihis apA�icalion and know(he same fo be fiue and <br /> con�crAll provlslons ollaws antl ordinancos pcvemMg�hls type o!wak tvifl be completed <br /> �rAethor spocirud hviein or no�. he�mnting uf v�pomni tloos notprasume to y�Ye outhodty(o � <br /> vlomleorconcelrlr� �rovlslonsoT�„yorr,�rsr,�b��r��orre��,e��latlnpconstructionorthe <br /> p�rlormanco olcens�nic(ion. 7hat!nm outhorized b}�fhe o�vner ol�his properiy fo pedo�m fNe . <br /> �:ork 1ur whlch opplicol+'on Is rnatle ond I comply wilh fhv Sfafo Contrac(ors Law 19.27 RCWand <br /> 9620D WqC. <br /> � �'�-° 'O � 7 ) <br /> signature oa�e L- <br /> L���l�� <br /> I <br />