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�ooi <br /> 09-19-05 MOV :O:OJ F.�1S 1:5 355 1810 DUTfO� ELECI'RIC . � � - <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT P�RMi- SERVICES <br /> 3200 CEDAR STREET, E�RtTf.WA 98Z01 <br /> 425-257-8810 - FAX 425-257-8857-w�rw•everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 'DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> �� 3 / 2u<<«- <br /> PROJECT ADDRESS <br /> Z� 6 ' <br /> c,G b� tilC-�l1.-�J Wl3 �Z�{ Z44 '� <br /> �� �� V� � C ���oc�c Ib3 ! R ' K L �.�. <br /> Maii nddress (�ry Sta;eZp F�O^0 <br /> Owner - . � . . . . . <br /> � 7 �� � . . � . . <br /> Tenan� MaIlAOdresS � City . . Slote2ip . ��u.' <br /> �.yNalwc�o u_W 2�aL7 3-feoo <br /> El�� �iU �J �c.�c7�tc 1 t�{-0'7 v�w�tr�i�o S P�DW�-y —r <br /> rical Conlrac[or Man Aadress . f:lry � � Siaty2;p: Pnone <br /> �D� -rT'dEct3 `l � � f (�oo . "' <br /> State License Numbar • _ . Conlract Pric of Work � . <br /> G�� l S � � � �f�cc �c,�r,.ic� <br /> Proposetl Use of Bu Itlinp . � Cont�ct Person (Plan Review) <br /> Description et Work to 6e Done: (�''� S��'L- �0� R''�'P ��`�-��<<"E �� <br /> C 19.f1_(��- _. �-�S il.7G�/7'7F�-C_ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN P.ACEWAYS, MG OR AG CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � � <br /> I hereby ceiVry lnat I heve raad and examincd this application and knnw!he seme lo be�ue and � <br /> ccnect. Afl provrsions of le�ss nnA ordinan^es govemmg ihls type ol wor.t wlll be_bnmp/eied <br /> whether speciTed hereln or not. The gm�Ming o/a permd does nel presu<ne to g�ve eulhonfy to ,, <br /> violate or cancef fhe provislcns o(nny olhor state er local!aw regulating ConsWcfion or Ihe i- , . <br /> peAormanco of constructan. 7ha11 am eUthonzed by thc owner ol fhrs pmperty to peAorm fhe <br /> �verk/or u•hich applicatlon�s m2tlo antl!comply�aieh the SYa7e Confracfars law 78.2� RCIN nnd <br /> 296.200 11�AC. . <br /> ��, c) _ 20 - o S- <br /> gnaNre Dale ; . � . . <br /> I <br /> Eosoa -ra i <br />