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FROM :E��ergreen State Heat 8 R/� FRX N0. :4252596660 '" Apr. 16 2011 09:S1AM P2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7REET, EVERETT,WA 58201 �r `� �j c��J <br /> 425-257-8810 - FAX 425-257-8857—vwvw.everettwa.org 't .�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� �� � � <br /> �-+y o3 ��,��,,�,1-+- r►- . <br /> PROJECT ADDRESS <br /> I,�c�v�su� C_w�1�.h�-�0 4U0� r�e�rnwrl I�r �1�.9�vck� ��3 <br /> Owner . Mall P.ddrosn Ciiy State2ip Phone <br /> Q� �'-vvY� �-�v� � - a4'� �"1 -�10 <br /> TenBnl . Meil Atldrwe City Stale/Zip Phone <br /> �V2 �QCtS1.3-�'� �+(1•lr fl�ra�-1 Y1-�-1'�L� v���D PQc r•�i�c 4AJQ �.+�.� �� <br /> electrical Contracror Mail Addrosc cny st�t��a� � � ��P�o�e <br /> �Je V o�« �i 3�s R+-� <br /> State Llcen umber , �ntract Price of Work <br /> ��. V � Vp�'�otw�c-o C°a�,+-�� <br /> Proposetl Use oi ullding Contact Person (Plan Review) <br /> DescrlpUon af Work to Be Done: 1 .�`�+`� � �-` o� � �'y� � ' "" "L-�-L� ' "`� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREp TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> l hereby cerflly thet I have read and exemined fhis application and k�ow fhe same fo be frue end <br /> carecf. Afl provisions of laws and adinances goveminq this fype o wak wiq be,completed <br /> whether spec/lled herein or nof. The prentfnp ol n pertnd doos not p�esume to piw authority to <br /> vio�ate or cancel the provisicn ol eny other stefe or local law ngulafing consVue6on or the <br /> perlormence ol construclion. �haf 1 em aufhorizeA 6y Ure owner of fhis prop�rty fo peHorm fhe / <br /> wwk/oi which application�s made and I comply wifh the Sfek Contractors Law 18.27 RCW and / �` <br /> 286200 WAC, I'D y� — � � <br /> � <br /> � Je 1 �} —1�—I <br /> s�a����a a� <br />