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FRUM :Ever-yreen State Heat & Ri(' FAX N0. :42525966EC� Sep. 22 2009 09:44R11 F3 <br /> ELECTRIVAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-(t810 - FAX 428-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTEp FROM 8 AM 70 4 PM <br /> yYo/ z`" ,02 �s"� <br /> PROJECTADDRE89 <br /> C/�i,,E- O�n-�s�90 ��/o/ z`"PDIzSC E!� �' ��08" ��s $76 -5/Yl <br /> Owntr Mell Addron. Ciry SlellRip Phona <br /> Tenont M,allAtlareoa CAy 91a1xRip Phono <br /> Eu�zc2�rar r s�/�r�� zizo P.c��yiy �� �� �9"y�� �s� -3/i�i' <br /> Eloctrltel Conlracfor ldeil Adaroos Clty 6mmmp phone <br /> E�/�"72G $S �Z�/l�t/ ��SO �-0 <br /> St��s Licenea Numbnf Controat Price of Work <br /> ropoo�nd Uce o B�I���� , ��� ��� <br /> Contact Person (Plan Rovlow) <br /> Onacrlption of Work to Be Oono: fY5�¢G L QGt GZG�"S,S y�- j��,�.,� <br /> NOTE; WIRING IN NON-DWELLINGS IS RC-QUIREO TO FEE <br /> BE IN R�CEWAYS, MC OR AC C�BLE, <br /> CITY OF EVERETT LOCAL 9ALE3 TAX CODL IB 3106 <br /> I heruDy caiity fhof I Irnw rond end axnmined;his oppllcaUnn ond know tho samo to be(ruo and <br /> corroCf. AUpro�nsions vl/nws nnd oNinancna govomfnp fhis fype o/woric will be complofod <br /> a�he(hyr spocilm0 hcm�n or nuL The granfing ol a porm4 doas not msumo to plw eufhcruy fo <br /> v/olete oi cencol fho pmvisinns ol ony ather sle(e ot locel lew repuP�ing consVuct/on or fhe <br /> paAormonco a/consvucLon. Thuf l nm auth�nred Gy the ownnr ol thls property(o peAomr Ihe <br /> work Inr whlch oppllcnlion Is made and I comply wlth tho S�afe Contraetors Law 18.27 RCW pn� <br /> 296.200 <br /> ^+- �, � — . � L/ �� <br /> pneWrx ate - <br /> rU 9 C�q-(7�� <br />