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10/09/2005 05:55 4254885288 PAGE 02/02 <br />Hlttr-lJ'U9�P1f1,_IU:4Z�'NI1�. .ty •CpI:..YCK(111 �Ctcvlae�- _.. rNn I`N. fyu.cir7i.tSp."W rRl .:.�•yC niiN...pl':ttCL.. <br />. . _ . , .. - .. <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 98201 <br />�+25•257-881 D - FAX 425-257-8857 - Wwv�.everettwa.org <br />APPI_ICA'(IONS ARE ACCEPT�P FROM 8 AM TO 4 PM - DE61T & CREOIT CARDS ARE NOT ACCFP7 ED <br />Z�'J O 8 (,()�"j �fA.O fZE � <br />PROJEGT Ab�F:ESS <br />� � ,, � �, �' ; �� ��'�� <br />�' _________ � � �'` <br />Ownrr btail AC�recs <br />�IS� �Si6n1� <br />M�d Addreas <br />COnlractor Mail AOdro�s <br />(��'`1 StSZG7320� �-25_O�c�_ <br />Stat; Llcense Number <br />Rroposetl Use oi �ullding <br />�' i,�;` <br />c�;r s�a�Pizro <br />� �1�77" <br />Ciry <br />, PKWy�S <br />�;Ity <br />DescripGon oF Work lo Bo hono: �Mo"�^ �� � <br />N07'E: WIRINa IN NON-DWHIlING51S RE�UIRED 70 <br />8E IN RACEWAYS, MC oR AC CF�BLE. <br />C17Y OF �VFRE77 LOCA� SALES TAX C�OE IS J705 <br />I hcioLy cr,r.liy (haf 1 have resd ona cxnminod iHiS eppllc <br />cuntrcl. +11.' provicicn� ot la�va anU ordinancea govcrnrn� <br />whfthor spvc:fiod hcrein or not. 7he pfeqvn0 o(a perrrrt <br />�•1a�a7ovrcrnu.lfhe �rnWsfon^qf�nyofhersfateor/nca� <br />pnrtormance cI construcUon, 7h�af I nm aulhodrrd by thc <br />rvorvr for wA�cn eppticatlon Is medc anCl 1 comply wilh 1ho <br />2 ,.5. Z00 WAC. <br />/D - <br />Phone <br />Lo/ �/�; iifj <br />a `Sla�teiZlp <br />Gv'+�I�t,� WA <br />Slalo/7Jp <br />���.� <br />Contred Pr1ce of War4c <br />�.Og � <br />Cnntact Person (Plon Ravlow) <br />the ssme fa bo trua and <br />k will bu complelad <br />mN to glve aulhorily to <br />:onstivction or the <br />FEE <br />U�o <br />� <br />:� , <br />7 <br />��a -y:.v 5 <br />Phpna <br />