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03/17 2012 13:54 FAX <br />, <br />� <br />� 000ii000i <br />ELECTR�CAL PERMIT AFPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CF_DAR S7R[ET, EVERETT, WA 98201 �/�/ /� <br />425-257-8810 - FAX a25-257-8857 — www.everettwa.ory �" �� � <br />APPLICATIONS ARE ACCEPTE� FROM B AM TO 4 PM <br />�:�.Z�> �/�a;�tntionE. �,;,.�. t-::Ur:r.Q,,�.(. <br />PROJECT ApDRESS <br />ovn,�r <br />�.il I�l, >>j�J lr�t;�l�1.o,_F' /��,.�. �:a��'�a�'Ii (nl�/- <br />Mail Atltlre95 <br />Giry <br />Sf �Ie2ip <br />� "L.S`�-(c <br />Phonc <br />Tanant tana naarr.:: r.uy Sia�r,ii�p i�nnnc <br />W�I'(� l r(.t,•� i E':�('C {viC. �'I Z?: ;,_:'7�.�iu,�!�'I� �t'rnf:.._�L�� .':LC._�L-i_Cl��( 7C�fc_. � Z 7 <br />Y�`__ <br />[Ir.r,lriG71 CoNmt:tor h1ai1 Addrrenn (aty 5wu:/J.Ip phonc <br />UJ y-�P i::�� ��r ��12 �z r�r__ �r , t.�c�. o _..� <br />Srote I,icencc Numhr.r Contract PriCO ol Work <br />t�._:h ,%'t,l(.��� <br />� � t,�,_ e — _ ____ _..___ <br />Proposetl Use of Building CO�Sact Person (PIBn Review) <br />Uescrip(ion of Work to Be Done: <br />•���: . �. � �'61r1 , � <br />�fa.l_ 10,1. _('��� „ <br />�.M� r (.' w:r..(. <br />( 1 I <br />1��.11..�.� ^ ,.`N.lib /.�I�G� � V �: <br />�.J � 1 � i �L � / \ �)!4`�L' � n.(' .s J.,_. <br />:Ifi111G /uvl �)Fl�/Ie.An'(' ••' /i <br />NOl'E: WIRING IN NON-pWCLLINGS IS R[QUIR�D T�O <br />BE IN RACEWAYS, MC OF AC CABLE. <br />�� <br />�I �z <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I horeGy certi,y fha( ! have road and ezarl�ined this �pplicaGUn snd know fhr� cgme (o be frun antl <br />rnnccl. All prnvis�ons a! lows and ortlir�ncos 9ovemM� fhi� typo Of 1vOr'u wiq b.r. �ompl�lnd <br />rvholhor spncifrod ho�oin or noL 7ho pr.�nlinp ol ;� porm/l dor,s ool �rosvmo 10 ,qivn nulhnnly ro <br />violo(o oi cancel the provislons of any olher stnte oNe^al lac� regu�afing cons(ruc(ion or Ino <br />peAormanct� ol consfrvction, That 1 am authorizetl by 'he ownor o! tlris proporfy ro pedorm thc <br />wotic Por whiCh opP�icappn is mndo and I r,pmply with Ih � Sfalr. CvnfracMrs Lnw 18.27 RCW and <br />7,9G200 W�C. <br />•1 r� <br />M�C��(,;�.1/iVf` C�r�Cvf'� <br />�j����- -- <br />',:i� ----) c.� 1 I r r i")_.. <br />_�._�..:: .. .. <br />_.._..._.._ _..__._. <br />f=LE � <br />�'d d=� <br />�IzvS- 070 <br />/ <br />