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FF.019 :Everereen State Heat & R/C PRX, N0. :4252596660 '" . 16 2009 11:19RM P1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257•8810 • FAX 425-257•8857—www.everetfwa.org �...17..0�'J <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PUI ��O C1���� <br /> �S� `! S�/ZoL1[ ���% <br /> PROJEC7 ADDRE38 <br /> �.��� s��1c--r��/��c :��Y� ,�ti �,�r �v, 5��i �.zs,z�� -33�.� <br /> Ovmer Mail Atldieee Clly 91ete21p Phona <br /> T�ntnt tduilAcldrc�s� Clly State2lp Phone <br /> ���t� s;_ s,�E��,--�,_ ��zo��,F� ,�� � ��� e?S� -3//fi <br /> elec�dcal Comroctor ntan naareco ciry siaiorzip rnon� <br /> �1�/1 G �'.Y',�'��R/1� ���� � - <br /> F <br /> Stnte Licoo�n Number Conlroct Hri:.n of Work <br /> /,�t3��J�Y i�s92 �7�i,i /.I¢SZ,��'L <br /> P�op06etl Use of Bulltlln0 Conteet Porson (Plan Review) <br /> Dercr�ptlon of Work to Be Dono; ��� .it��%r/ G�R C�t i T i O �f�Gfi�-i�,� <br /> !1 _�?Z COYZ/_u i7 %7� CGf/1/�//-IGE <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> OE IN RACEW�YS, MC OR AC CABLE. <br /> CITY OF EVERETT IOCAI bALEB TAX CODE IS J106 i� � �-7/ n <br /> I hereby certi/y(haf I have r�ed ond oxeminod fhie oppiirotion and know fhe same lo b�6us and li`�l �L� I- C�(, <br /> corrocL A/l provlslons ol Irwa end o/dinances goW minQ this fype o/wo/k will be COmp/etod <br /> whatherspualled heroin ornoc Tho gmni/ng ol�parmlt tlons nofPmsume fo g7ve eu(honfy fo <br /> vlolafe or cancol thA nr�vlslons ot nny ofhor slefs or local lew rogu afing ronaWCGon or fhe <br /> poRormonco ol c�nsirticl+on. rhaf!am autfron7ed by the owner o/th/s propeRy fo pedomi!he <br /> wn�k fr,r�vhlch apphcafion ls made Bnd I comply wllh tbn Sfofo Conhectors Law 18.27 RCW and <br /> 296.2C0�1 . <br /> � C�___— g/G D�/ <br /> pneture Dote � <br />