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Aug-09-09 10:34A <br />P.O1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PEi2MIT SERVICES <br />3200 CEDAR STREET EVERETT, WA 98201 <br />425-257-8810 - FAX 425-2:i7-8857 – www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />3 �.Z y sG K�r— .r c.� <br />PROJECT ADDRESS y <br />Owner <br />Tenant <br />Mail Address <br />Pdail Atldiess <br />�? o <br />Ci1y <br />City <br />Slote2ip <br />Q ��fl— <br />�a�0� <br />Yz5 <br />3Y?- <br />- 93z� <br />._- vhone <br />Stat�z/21p (�rzJ Phono <br />� <br />�LANO�'.�(. .r.M�s � s�'/��icr� .�n/�a Au �v iP-�o� � 9 .Z/4i <br />Electrical CnNractor Pdail Atldress Cdy Stale/Zi0 Pri�ne <br />'�'c�Ft11S'S/ Y 2 U� <br />Stale License Numbnr <br />S�Y1- <br />Fmposod Use of Buildiny <br />Cuntract Prico of Work <br />Contact Person (Plan Review) <br />Descriplion of Work to 8e Done: lClTc��( C/�.�(/ LjZ"� —��(RCL�j <br />NOTE: WIRING IN NON-DWEI.LINGS IS REQUIRL=D TO <br />[3[ IN RACEWAYS, MC OR AC CABLE. <br />�ITY Up EVERETT LOCAL SALES 7AX CODE IS 3705 <br />I hcrr.by certily ftiet ! havr. road antl exemineA this application and Fnow the sernr to be true and <br />Conec.L Alf prpvisials U(/ews and r.rdiRdnces governmqlhis type ol �vnrtr will bE Cample(od <br />whethr.r speubed herci�� nr noL The qianting o/ a perrrui dons nnt {vESurne to givn aupio�ty to <br />viola�e or cencal the provisians o! any o(her starn nr loca� law n:yul:.4Ntq cOnsfiuction or fhe <br />vo i°io;ek�n �n ;��� aiio °is mndo ari� I c�oniply wrth Ih ��Sta eECoal tru�rt�rsNLaw i8 27 RCW �e d <br />2g6.2U0 WAC. � � <br />� � � ,� � -- --- <br />FEE <br />So � <br />�,��,36 <br />i <br />