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�— <br /> 09/21/2G08 G5:G0 3609740126 DONNcLSGN ELECTRIC iNC k0129 P.GO1 /GG1 <br /> � 1 <br /> ELECTRICAL PERMIT APPLICATIOtJ <br /> CITY OF EVERETT PERMIT SERVICES P��,-0g <br /> 3200 CEDAR STRE�T, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8S57—www.everettwa.org Go�o9-�a6 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��o� 23hd �4� ��etr Wq. <br /> PROJECT ADDRESS <br /> liin �jo%n � ?L�� ��.�:r� � �vP�ett- ►v�. y82o; yZS-33Y- Y7 <br /> Owner n.taiiAdJress City SUite/Zip Phone <br /> � <br /> Tenan( MailAtltlress City StatefLip Phon¢ <br /> FA1c 3E�-�I�v.JiZ <br /> 1b1lnE/S� F/ c /; :+c /3�1 .�/ �l �» : � . : •� w . 9YZZ3 360-y S-S 2C <br /> � EIeC�catConfractOr MailAadress Ciry .Sute/Zip Phcne <br /> , �Don�.�r�c�oyNa� ��/C��l� ,�/, 000. 00 <br /> Stata License Number � � Contract Price of Work <br /> i � <br /> ��/P��nc �`�✓l7 FenSr+i+-��K� tl3S S72 <br /> Proposed Use o uiltling COn(3Ct PerSOn (Plan Revi2w) <br /> Descriptian ot Work to 62 Done' ��/�l.' 1 V�Tt� t� t' /f-1 /� Uf� �V1Q � <br /> r' ��N �✓1,SPE��'Or' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> � OE IN RACEWAYS, MC OR AC CABLE. <br /> Ct7Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> /he26y cedily thal l have read and examined this applicafion and know the same fo be true and <br /> CofrecL All provlsions of laws and oniinancss governing thiS fyp6 07(oodc ta'd!66 comp/etEd � �U�O�—1�� <br /> whefher spec�/red herein ornof. The grenting o(a permrt does nof pr2Sume to give aufhOrity fo <br /> vro/ate or cancel fhe p�ovis�ons ol3ny other sfate or/oca/lav�regWating consfrua�on o�the <br /> psrformance oftonsVuchon. That 1 sm rmizdby G7e ownerof thrs property to pedonn the <br /> ��o�k lor H�h�ch application is m I wmply �Yh ti�e Stafe Conha�ors Law 9827 RCW and <br /> 296.200 WAQ i � ,__ , <br /> �- � �/zZ/� <br /> S�gnat�2 Oa.e ' <br />