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Mar-23-09 lO:U5A <br />ELECTRICAL PERMIT APPLICATIOM <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />A25-257-8810 - FAX 425-2!i7-8857 - wHnv.everetlwa.org <br />APPLICATIONS ARE ACCE PTED FROM B AM TO 4 PM <br />P.O1 <br />3- a3—o5 <br />(,�-v9 D 3-� o S� <br />3s� y c� �r.ti�n.H # `� _ <br />PROJECT AODRESS �Z.s <br />��.�.kL/�_G-� -�w �_Y so�ti,� ��_�ll���_.._— s/ <br />Owner tdall Adtlross Gty 5tato cip Pliono <br />Tenan� 1,1a11 Address City Slatp�ilp �2J Phonu <br />G. IUI� _..SKS 3lie/ --'-��---�L ,E(( 1�7�'.,�a/ 1s� .Z/4/_ <br />E�odncaiCon�rpclor htailAtldfess Cdy t tc/Zly Phono <br />�60 � <br />Q'�Ns�f � yz u� ,�—_ <br />S�ole License Numbo� Cuntract Prico 01 Wor4: <br />v� N[, ri x _. <br />ProposeJ Uso of 9uilqin� Cont2c; Person (Plan Roviow) <br />DuSr,�ipi�oll Of WOfk W On Uonn: A1•PI.J�'UZ �(i/I�!_. ..._�[1�;���/< %lUff.. B�(�1 ..._. <br />NOTE. WIRING IIJ NON•DINELLINGS IS REQUIRED TO <br />UC IN RACE'NFlYS. MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />1 qerr.Ly ceertily Ihat I have ��eud and uaamrnud fhis opplicn(ion nrA Fnow fhu somu fo be irue end <br />cortect. AN provrs�ons o/laws and erdinancNs Qo��eirilny fhis fypo oi ���or6� w!!I be complefed <br />whafhe� specrliod huR�i�i Or qol, Tho yrunGng p) q pprni7! does not �resmno fo glve authonry� to <br />violnto or cencel tho pruv�sii�ns oI any utl�er sto(o or locallnw �ebu�rtiny �onstnrchon ortne <br />poAormance ol construcfi�n 7het I am oullrorized by tho owner el 'his piopdrt}� to po�lorm !he <br />��nik !cr wfvcli aUI����eGun is mndv and I cvrnply �vith �bp Slatc Cunlruqors Lon� 18.27 RCl1'and <br />29�.'lUU W'AC. <br />� �� <br />��❑ �Jlb � Di1G'_ —'_ <br />FE[ � <br />S-y so <br />� L r"� 0_� - � �� J <br />