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JAN-22-2010 03:31P FROh1:DRHL E�ECTRIC-EVERET 425-252-2ggg T0:4252578857 P. 1�1 <br /> ( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �`a �- `�b <br /> 425-257-8810 - FAX425-257-8057-www.evereftwa.org �/DO/-073 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3s �7S„� �'� . �� <br /> PROJECT ADDRESS <br /> ����LC'� �3si7�.��� �o�.� C(/a 98zo/ sls-�s9 szsa <br /> Owner tdail AOdress Clry Staicilip Phanc <br /> GSL�fG� Q�G Gt�j-�{J�.� <br /> Tenant tdall Address Gly SlalelZlp Phonc <br /> �N�� ��.�.r2i�- 3��9�I�4sxc��€'���T �iU�-9��/ �lsv/�n <br /> Goetrical Conlraelor A1ail AJdruss `� Cily SIaW2ip phune <br /> C17 <br /> f�s�ff�-EET �12�Q� p � 152$ <br /> Slalo Ucenso Number /� Conlracl Price ol Wort: <br /> i � /�i¢IUKf'� /�-.c.-��l/�d <br /> Proposad Use ot Builclinc� Conlact Porson (Plan Rovie�v) <br /> Descrip�ion ol Wark lo Ba Donn: �...s�_,[._(� (�Q�S.� GZ.1ryf1,o[ V-L�-- ,.�/d-j����a� ' ' V <br /> �C-cr___��% _�+SLc!-�JJ.-u-�' /� / ...�JL(jL /L1' l��d�0-l�.iC/ <br /> �— s <br /> NOTE; WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. r - -� _ � � —� <br /> c�2.�1_�-._--. <br /> CITY OF EVERETT LOCAL SALES TN(CODE IS 3105 G IOd� 'U�)-3 <br /> I hnrr.by cnrtily fh�f I havn read end oxnrninod tRis npplicnfion und know Iho snr,o fo bo fruo nnd <br /> corroct. All provisions elldws and ordinonces r�ovormng fhis f}�po of work tvill be cemplateU <br /> a�hn�hor.apncifiod h�reln or noL The gronlin�ol n pem�d dcus notp rosumo fo give authority fo <br /> viNnte or cancel fho provislons ol any other stolo o�local/nw rogulating construclion or tho <br /> pedonnance M enstruc(ion. T af I am aufhorized Gy Ura o�vnor olfhls propoity to podo�m fho <br /> �vork lor u-hicf .pplicafron is do nn compty�ti�ith fho Stato Contractors Law 78.27 RCW nnd <br /> zsa.zoo wn ,� ������ <br /> � <br /> � ��n�� /—Z z —/� — <br /> o ���o <br />