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Ju1 -16-09 01 : 16P P.O1 <br /> f � <br /> ELECTRICAL PE'RMIT APPLICATION <br /> CITY OF EVERETT I�ERMIT SERVICES <br /> 3200 CEDAR S7REE7, EVERETT, WA 98201 <br /> 425-25?-8810 - FAX 425-2E�7-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEI>TED FROM 8 AM 70 4 PM <br /> �.L� G�/kr�o�tri i4-1/� /� <br /> PROJt�T ADDRESS 7 �S <br /> 3.z�- <br /> ��M .�4-/it/�cva�t/'ft /�/� Wk`?�nK,� £U 9�.�� 9'�G <br /> Ownvf MailAddrese City Slatx2ip Phone <br /> Tun�nt V J A1ail Address City Slate/Zip /iv PAono <br /> FY��Mr�k�._ Jr.S' ��6i ��i ��;c �G 9'f1�.. 2�'y z��� <br /> Eleclric:ll Conlmclur � rota�l Addrex. r�ry ` tiia�«2ir P�onc <br /> �TYL-/�/�/(.(� % �� L-� <br /> Slate llcense NwnLer Contract pri,e ol Work <br /> �r/�-- <br /> Propt�sed Use ot Building (:onlact Perswt (Plan Reviow) <br /> Dosaiption ol Work lo Be Dune: iy�l� �,Te��, , _ ��h�„rri �[ /�[,/911� V� <br /> ... l��!tlti L. L.� /�a CS ,I�tiF/ oc�7t,Fc;r.i.. . . . <br /> y ��� � <br /> �S � �-��✓�slZ C '� oZ3/ �.Z2� <br /> NO7E� WIRING IN NON-DWELLINGS IS REqUIRED 1'O rLE <br /> BE IN RACEWAYS, MC OR AC CABLE, u � r� <br /> � D � <br /> CITY OF EV�RETT LOCAL SALES TAX CODE IS]105 ^- <br /> 1 heroby ce�Ufy thal 1 hav�reud and ex�minoA this application anU J'nuw Ibe sama to bo tNo and F G��L� �._ U�,� <br /> Kh fha�r spoPl%ie�A h��ou�o�1noL r�Tl���r�ntlilN af a pormit�o�s�ot�esuma toLgl ve auIl�odly to <br /> vinlafowconcolfhe prvvfsionso/nnyofherslafeorlocollawrcgul,rtingconstnfcfionorthe <br /> work I rtlwh�'ch apWl�ntio�s n,n�e ar�iU�!co�iiipry wifh}fhe SI le Curn�acPrspLaw 1tl Z7 RCWlend <br /> 29C.200 WAC. <br /> �.. - �� �%� <br /> . � � � _ �a,a - . <br />