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�3/25/2008 15:31 2067679Et77 AUTOMATED _OUIPMENT PAGE �2J02 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 9820'1 <br /> 425-257-8810 - FAX 425-257-8857-www.everethva.orc� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /S�C� / � �f �ci���t�a LC,f�. 9�2`"l.S <br /> PROJECT ADDRESS <br /> �oa-+�- o"T• `��� <br /> Owncr Mnil Atltlmss Clty SIotMZip Phone <br /> TOnpnt A1all Address Ciry S1a1o21p Phone <br /> A�.�,..A�.-,.o �1��;0 �., co�t4� � rnnrz�,N�c, w�; s, � t��a g8�6X z�7b�qa <br /> EICCtfiC0lC011tf3ciot MailAddross Clty Stato,rZip Phone <br /> ���, �..�� �� 3ocz � ���1 �' �g, o�� <br /> Stolo Licunsa Numbor , � , � Conlract Pnce of Work <br /> . � �� ��'_r, ?��- '-! ):') 7� <br /> PropoSed U5o ol0uildinp J ConlaM Person (Plan Review) <br /> Description ol Work to�e Done: �11��Z L v L'e� �P�'RP�{'b�s . 2 ��� �-/ S <br /> �� ��.c� <br /> NOTE: WIRING IN 'JON-DW[LLINGS IS R[QUIRED TO FEE <br /> [iE IN Fl�CEWAYS, MC OR AC C�f3LG <br /> CITY OF EVERETT LOCAL SALES TAX COD[IS 3105 <br /> I han�by wrfily that 1 have mad and uxamined;his aFP,rcalion and know fhe same to be frve and <br /> COffsCL /111 provisiuns ol Inws 3DU ultllp8ncv5,yovcm�ns 01rs f}pC Ol�YOrk wlll be campleted ,� <br /> w4uther spec�Led he�ain ornot. The gr3nGng o!o pamut do�s nofp resume to give authonry to <br /> 1901i71J Of CLnGeI thC pR7VIS10l15 0/any other state or local la�v regul,'+fing Consfruction ur the �^ <br /> OUI(ORn3qLC OI C0115((�/GIIJ/1. T h��I 3T BUIIIONZECI b}'IIIU OM'�iN/of�his propeay 7o perlortn tho I / <br /> �*'o�k Ior N•hiGr a�ppLcnfrcn is mado and I cronipty with fhc St.N Cc��rocrors Lsw 7D27 RCW end �i � <br /> 29G.200 WAC. ��'�J <br /> _��1/r/,���/✓�- .��' -z s'-o� � , <br /> Slgnetwe Oete <br />