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FEB-i0-2004 63:37R FR01'7:FROFESSIONAL ELECTP.I �60 435 1182 TU:4252578857 P. 1 <br /> ; ELECTRICAL PERIVlIT APPLICATIAN <br /> i CITY OF EVERETT PERMI7 SERVICES <br /> � 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> i _ <br /> � <br /> i <br /> � ,�`/J U .5,�r., S -T <br /> � <br /> I PROJECTADDRESS <br /> i <br /> I �FWIG�+N �//�N .}� <br /> Owner Mall Addross CIIy Slate/Zlp Phone <br /> I /-1� ✓'��� l'o•e �5�9 � 3F��.1'7— � �s� L,�� i��d� / ? �/� i <br /> , <br /> Tanan! Mall Addross Llly Stato2lp phono <br /> I <br /> � P�,�r'ss,b..� � �/P�k��l.,� �v .s Ll��_� J'.�a3 <br /> I —�`L 5 /�����, -- <br /> I Electrical CoMrec�of Mall Addross Clly StalolZlp Phono <br /> , �i�o���� r� � �k.� r��� o� <br /> iSlale Licenso NumUor COnlract Prlce of Wo�k <br /> I /,t�hwrl. �:� <br /> iPropased Use of Bullding Cont.�.t Parson (Plan Review) <br /> I <br /> I <br /> Descrip�lon of Work to Bo Done: C!/.:-� /h C �✓�G .. � C �j,i �ft� � f �/�� �v <br /> NOTE: WIRING IN NOtV-DWCLLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC C,>BLE, <br /> I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I horoby cort(ly fhef l l�evo raad end exarrdned fhls i3ppflcal/on end knoW the seme to 6e fruo ond <br /> corrocL All provls/ons ollaws and ordlnances povnming fhls fy�e of werk wl11 be cornple(eU <br /> whofhor sped0ad hnrein ar noL Tho��anfing o/e pernu(does nof rosumo fo plve auihordy to <br /> vlolef�or conce/Oio provl,olons o(any ofher steto or locpl faw roguPflno construction orlhe <br /> Wo k for whlch aapllcstlon Is nmdo and 1 co�nptye�fd fhe Sfp�e Cont ecPr�p n�v 11i.P7�RCW ond <br /> 296.Z00 WAC. <br /> ! �LGI./( /71".�t�1t'.� /�/�7//U � <br /> S gnaNro � <br /> Dulr! <br /> ,� ��� _ L�O� <br /> � <br />