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Jun-23-11 07-42A P-01 <br />� <br />ELECTl�ICAL PE:RMIT APPLICATION <br />I CITY O� EVERETT PERMIT SERVICES <br />� 3200 CEDAR STREET, EVEREiT, WA 98201 �`� �- �� <br />� 425-2a7-8810 - FAX A25-257-8857 - www.everettwa.org � � J�o-I 3S <br />APPLICATIONS ARE qCCEiPTEU FROM 8 AM TO 4 PM <br />; �• / 7 �—:3'-r'�,� T S;E" <br />PRGJECT ADDRESS <br />F-��/C ,9�� � /` �>�i � s3'� r .sr� �-� � > - -, <br />--.�.--- - . �' 1-�` _ r ffz� � > �'�-J _,�, ss = <br />Ownr,r Mn�l Ad:fress City $IytFrZip phpn« <br />Ta.nanl <br />Fd�il AOtlruss <br />Giry <br />StatNZip <br />f'hone <br />� <br />N .�., �v- ?�r �s 'i .Sri v��.t. 3�C'/ �--�-� �K. _ �•.r. ��� �/z�'-�s'y'� �i � <br />EI .ctriCal� Fdail Hddress City StalclZip f hune <br />� ,�/�, p2!5 S �y z. L <br />Statr. i icense Nwnber <br />/� P � <br />Pruposr.A U,� of CiUildiny <br />/����� '.�_ <br />Conlr;�c! Prir.o of `Abrk <br />Gontact Person (Pl�n f�e��iew) <br />Description nf Work IO Be Dunr.� .. . ./L_ �.. �'( .:_rs_�� •- E% <�. y ��� /� v �-,-- <br />NOTF.: WIRING IN NON-DW[LLINGS IS REQUIRED 70 <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SAIES TAX CODE IS 3105 <br />I he�eLy ccrtily th��f I Aave reaAnnd examined lhis appbca(ion anJ Ynow th� same lo be trun and <br />r.or�n,:t. All prwisiuns o� laws mid ordinai�r.e.+ qovernmg 1h�s typn u/ w•o�k wi11 be compinfAd <br />�vhethor spealied heiein nr nnl. The grnnting ol a permit dors not ornsui;�A to give euthonty to <br />wol�te n� cnncel �he prwrsions ot any o(her state or local law repuliting r,onstrucfiorr orlhe <br />perlurmsnr.r. of ConSLucGon. rha! ! arr� alrthoAied by tho OwnPr Ul lhis propttrty to peifo�rn fhe <br />wnrN �or �vliich applir.ntion is made and � comply �vlll� !he St3m Gaitnr,�prs Law 78.27 RCW anJ <br />ZDf,.700 Vh'AC. <br />'�'( �:.� ,���1 -C. <br />— - � � _ G- �'�—// <br />Siynatun� .__ A f ."— <br />FEE � <br />�l1 Q�- l3 S <br />