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Dec-28-10 03:19P P.04 <br />� t <br />EL.ECTRICAL PE:RMIT APPLICATION <br />CITY OF EVERFT7 PERMIT SERVICES <br />3200 CEDAR STREE'C, EVERETT, WA 98201 <br />425-257-8810 - FAX 42.5-?57-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCI_PTED FROM 8 AM TO 4 PM <br />__ _y_�_� so %� ,j y �-�'(� <br />PROJECT ADDRESS ^ <br />L-�r v / `' //I• <br />Owner -� <br />Tun2i11 <br />E� .h,� /r . :7 i <br />Ei�lncal CnnUaclor <br />y� � ,� � �S�iCc! <br />Mall Address <br />Mali qtldress � <br />!o+t..<<7�c 3�O/�_, <br />Mail Adtlress <br />��/ll5 S �L Lf' <br />Slale Lir.r.nse Numbcr ' <br />�F� <br />Proposed ll:�r. nf 6uilding � ' <br />Desr.riplion uf Work to Be Dane: <br />NOTE: WIRING IN NON-D4V[I.LINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />cITY OF EVERETT LOCAL SALES TAX CODE 18 3105 <br />City <br />City <br />Clty <br />ZD. 3 . �/ZS - 1i/y6= ULh'y <br />S�atelZip NhnnN <br />Slatal2ip <br />Sinle2ip <br />_ /Q O � <br />Contracl P�e of Work <br />Phonn <br />2.51� �? . <br />Contar,l Person (f�lan Review) <br />1 hereLy r.nitily fhst 1 have read an�i examined fhls eppllcation and know 1Ne samo to be truo anA <br />concr.t. qll prvvisions o/lsws drtd ordin�ncCS poveminglhis type ul Work wrll be compfol9d <br />whecUer spncified heniin or not The grenting o(a permd does no[ presume to give aufhority fo <br />viol.�te or canr.M the provisions o/ any ofher state or locs! faw regulating consfruction or the <br />work`!o w1t1 ch ppl iealion� s� n)ade nnd�! Cornpfy with the S(ate Cont a�CPrrosp aw 18.27 RCW end <br />296.'00 W'qC. <br />w�nne <br />i7i/ <br />� <br />FEE � - <br />lG���_�g� <br />