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NO��-3-2011 05:53R FROM:PP.OFESSIL'WRL ELECTRI 3E0 435 1182 T0:4252578B57 P. 1'2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICE8 <br /> 3200 CEDAR STREET, EVEF2ETT, WA 98201 <br /> 425-257-8810 - fAX 425-257-8857—wv+w.overettwe.org <br /> APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM <br /> �� � ✓C v<',�2/ <br /> , PROJI?CT ADDRESS <br /> �/J 1 ' <br /> w,/,:�,r /y�./ro�r ��Ji k,.�k�,. ,�.,p.r�r �,h g ��� i �Js-sa6 <br /> , Ownor Mall Addross City Slalo2lp Phona <br /> � TonarA Mall Addross Clly GlaloZp Phono <br /> ��U/�`sr,b.,. / ,��/>.�„� ,Po/3 y9 , �/•....,�.��, L,I,,L S �1'.�>3 �/� �= s�d J i� <br /> . Elactdcal Conlractor Mall Address Clry Slale2lp Phono <br /> � �'/L�� /�/%/= Io 7 7�it <br /> I Slelo Llconse Numbor Conlracl Prlce of Work <br /> I <br /> ��'S�t-I/...C. _ <br /> ! Pro�osrd Usa af Bulldinp Conlac�Porson (Plan Rovlow) <br /> i <br /> I <br /> ,' Uoscripllon of Work Io 0o Done: ��Pyr�.�t �Ch. 6 ,�` '�"�d P I,u�,j'ir+ � �jorn <br /> � �Ci1Nw+[�n 1" n.� ��s-� �_f/ �.�✓�� �� ���S�Ue./� Ci/c✓ �.J <br /> I <br /> I <br /> I NOTE: WIRING IN NON-DWELLI�dGS IS REQUIRED TO FEE <br /> I BG IN RACEWAYS, MC OR AC CABLE. <br /> � <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � <br /> I horobycortify thof I hovo rood ond�xom/nod thls eppOcnOon nnd know tho samo fo bo fruo end <br /> cenuct. All provlslons ollaws nnd ordlnoncos govaming thls(ype o/�vcrk wlll bA complefed <br /> u-hefhor spoclBod horoln ar not Tho granfing o!n pormif does not prosumo to Alvo aufhonly to n I <br /> i vlclato orcencol fhe/�rovlslcns ol eny othorsfolo or locollaw rogulating consWctlon orlho , I G <br /> pedominnco o(canstmcflon. Thnt 1 am oufhonzod by(ho o�rnor ol th/s proporty fo poAarm fho I � <br /> � ivork!ur whkh appllcafion!s mado ond I cornpl}�wlfh fho Sfoto Contrecfors Lew 10.27 RCLYend <br /> � 296.200 WAC. <br /> � <br /> i <br /> ' � s l�+^ /'/ � <br /> Sgnature� � � �-t Dnte � <br /> �II <br /> L <br />