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JUL-19-2011 OB:O�P FP.OI•1:FROFESSIOtlAL ELECTRI 360 4�5 1182 T0�4252578857 P. 1�1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR ST�EET, EVERETT, WA 9B201 <br /> 425-257-8810 - FAX 425-257-8857—wHnv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /G3l ll� � ,� �� <br /> PRt)JECT ADDRESS <br /> y1s=,J�-�060 <br /> � k>, //, �,.,,. /`7 `C�//v� 6, /63 / ,fleakw �✓e/��`f" c�l,h �'i��u / <br /> . Ownor Mall Addmss Clly Stale/Zlp Ptione <br /> ' T003t71 Mall Addrecs Clly StatolZlp Phono <br /> 36d ysr �.�i2 <br /> f�l'�I.SS i�.-,� / ,li/P fi�t I.-,c /�Of31 N°� i'l..-,�._�� r�/.4 S��>3 <br /> Eleclrlcal Conlractor hlall Adtlress Gly � Slale2lp Phono <br /> /��L 0 `J��' �U7 �.�.�( <br /> , State uconso Number Contracl Prlco of Work <br /> R�c i �/c.�c' <br /> � Proposod Use of Bullding Can�ar.l Porson (Plan Revlew) <br /> Doscrlptlon of Work to Oo Dono� �iy�otiY ��'�� 6 � tc..6�' 4//�'i ��,_ I ri CP • �_=-+ <br /> � OY� � �i i -,�. l'�o i., �- � /r7 -�5 � .-�. /'l �i� e2 Cc� .�— <br /> � <br /> G � wG /� L,c� � � � C'��c���— . <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � <br /> CITY OF EVERETT LOCAL SALE9 TAX COOE IS 3105 � . � <br /> 1 hereby coqlry thaf I hevo rood and examined thls applfcaflon and know fhe same fo be Irue and �- � � C '( - u`7 � <br /> c�n�cL All provls/ons nllaws end ordlnancos Aovonrin lhls t}po ol trork wlll be compinfetl <br /> �+li�th�r speGllotl liereln ornoL Tho gronflnp oI n permQt doos nofp resume to glvo euthodry to <br /> vrofataorcancolthe pro�4slonso/anyothars7efoorlocMla�vreyu/nflnOconsfructlonorfhe <br /> performnnco o/constractlon. Thef I am authonzod by fho avnor of thfs�roperty f0 pedomt thu <br /> work lor whlch eppllr.nNon!s medo end 1 canply�v/tb the Stofe Cunt�sclors La�v 18.27 RCW and <br /> 2�J6.200 WAC. <br /> ����� /,�G'•=�a�. �`/ �l - // <br /> ISlBnulurn �ate <br /> � <br /> I <br />