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tJOV-22-2010 04:29P FP.OM:7iaHL ELECTRIC-EVEP.ET 425-252-2999 T0:4252578Q57 P.1�1 <br /> ( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �� ,- ; ;. /U <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 9 AM TO 4 PM <br /> s38�7 S��r� �v� D � �,� �' <br /> PROJECT ADDRESS �'�� � <br /> t��,�•_ 1�1,�v�F,�n+e�,�� <br /> O�met MallAddress Gty SWIe/Zip Phono <br /> �z5 <br /> ��4�ya�4c.TU,Q//l/G-�/�rrw�v��,� g- 254_925�' <br /> Tonanl Mall Address Clly Slale/Zlp Phone <br /> �j,,�^ yzs - <br /> T�/�NL �L�cT�2/C �49�//`UoucAL�d ����.Fll �/� �'1�20� .252 f?O� <br /> Eleciricai ConlraCtor Mail Address Ciry Slale/21p Phone <br /> D�'•I�L6Z�I��QD [�/ 9�i � Zm0 . � <br /> Stele !_Icenso Number Controct Prico ot Work <br /> Proposed Uso of Duilding Contacl Porson (Plan Roviow) <br /> Doscripllon of Work to Bo pono: ��"Q ��}'' � ZO� � �f/�-'r�(�L��Q� <br /> �i,� , �NG- /Y�.4�,�-i.u�� <br /> NO7E: WIRING IN NON-DW[LLINGS IS REOUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> �y ��Z • 50 <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 ( <br /> I hureby cortl/}�fhaf 1 hovo read end oxaminod!h's applicaflon ond know fho snme to bo Irue ond � � V � � — I Z � <br /> corroct. A/l provisions ollaws nnd ordinences goveming thls typo ol work will bo complefed <br /> wholher spocl�od horoin or not The granfinp o/o pormd doos nof rosumo fo givo au(honty fo <br /> v/olato or canc I fho provis/ons ol ony othor stnfe or local law roguPting tonsWc�lon or fho <br /> podormm�co construction hat I am authorizod Gy�ho ownor u!(his propoRy fo peAorm(hu <br /> work lor wh' oppllcef/a / � edo I comp/y wifli Uio Sta(e Ccntractors Low 78.'7 RCW ond <br /> 296.200 C. <br /> �y lG /� z /C <br /> Si a irn Ualo —� <br /> I —__'__,.�.._"�._.___�'_._.'_"_____�__�__.___._'._-."__ <br />