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Mov 29 2010 9: 59�M West Seattle Furnace 2�6 935-0735 p. 2 <br /> I, <br /> ELECTRICAL PERMIT APPLICATIaQN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9820� �� �'a.C� --/p <br /> 425-257-8810 - FAX 425-257-6857 —www.everettwa.org <br /> I APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ` /� '/ (�� <br /> y�l v v�, �,w IQ�1 cl-a �. D�C' <br /> PkOJECT ADDRESS <br /> �.,... Er: ��so�-� ��` � � S •� SG • 1n�3 <br /> Owner Mailnddrens Clly Slefe2",p Phone <br /> Tenant Mail/ltlaress City StalelLp Phorro <br /> P7d u�,v��,-. � �,�1��q L! co o S 13�h 'P l. Sca�l-c w c� q a► b s <br /> Electrlcal Coniractor MaA Addre55 City S[ete�Lp a O(o a y � �h��a O O <br /> � " •t- <br /> �c .�vv��e,� Q�-1 'Q C� �00 <br /> State L'xnx Number Conlract Price ef Work <br /> �\ V�1-� � LL.YY�\ , V 1n•, '� �y( . .v� n r� <br /> Proposed Use of Buildin8 Conlect Parson (Plan RevlewJ <br /> Descriplion af Work ro Be Oone: 1/� �� Q 1 �� r y�y� C-C � `�� �C.�. .a.o r L,i �L� <br /> NOTE� �NIRING IN NON•DWELLINGS IS REQUIRED TO F�E <br /> BE IN RAC[WAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br /> 1 heroDy ccrUly fh»f I havo rond and examined(his eppiicafion an0 know(he samo to te huo and <br /> cronecf. A/l provisrrns ollaws and ordinancos govemMq fhis type ol wak wil7 6o comp/otcd <br /> u•hetherspeCbsdheroin crnoL The graqting o/a permd does nof presumo to givo euthonfy fo <br /> violale orconcol tho pro��sbns o(ony othar s�ryte orlocel faw ragulafinp constructia�or fho <br /> padoriencw o/consln/cfion. Thof I am authonzetl hy fhe o�nor ol this property to perfom tho <br /> woM-or which cpplicafion!s made and I cumpty wifh the Stale Confroctors Law 10 2;R��ti��d _ � 3 3 <br /> 2�JG..'.QO LYAC. <br /> � \ _ �I (�1�� <br /> �J � C�,'�.'YY�,�O� �'� ( ( �a�_ � � G <br /> �3i7"aWm Date <br /> �. <br />