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FR0�1 :E�ergreen State Heat & Air FAX N0. :4252596660 �ug. 21 2009 10:27FlM P2 <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERE : T PERMIT SERVICES <br /> 320U CEDAR STREE7, EVERETT, VNA 88201 ��,3�`p� <br /> 428-287-8810 - FAX 426-257-BBG7-www.everettwa.org <br /> E�08 �'o <br /> APPLICATIONB ARE ACCHPTFD FROM 8 AM TO 4 PM <br /> ��I�� a?S �" 5'7�. <br /> PROJECT ADDRE83 � <br /> �' SG�.SA�r/ //�E�%O/r/ .��lO`d �S�'ST. EL /�i1� �o�D� <br /> Owns� Mellluldroce Clty &lete2lp �� <br /> Phone <br /> Tenant . MellAdtlroet � Clty Slete2lp Phono <br /> ��-� z�a 3/ry <br /> �6!'1�v,,��-i. Sf��T/l��'L 1/,�o �qc/fic �1� GY �d�j/ <br /> Eleclrical Co,itractor Mpll Adtlres� Clly State2lp Phone <br /> �?�:'??-G �`'S9� � �iv "� 3 So�� <br /> Stat6 l.ice��se Number 'T - <br /> ConVact Price of Wark <br /> ��/Q�y i�i9z /�)v .�� /�7Z. <br /> Proposed Uce of Bulldlnp Contact Pefcon (Plen Review) <br /> Descdption ot Work to Ba Done: �/Y��lG G �/��� L.E$S �Gf�c�y-� Ql��yj� <br /> / G(�.P cor /7 %o� %/�FS' ��p� l�G,�q-,,� �� An .05 <br /> / GL�/tGG! /Y � %�� I/7/�'✓dri2 G/i��L �/Y T I5�97»�" ..— <br /> NOTE: WIRING IN NON•DWELLINOS IS REQUIRED TO FEE <br /> BE IN RACEWAY3, MC OR AC CABLE. <br /> CITY OF EVERHTT LOCAL 8ALE3 TAX CO�E 19 7106 <br /> I hefeby ce�illy thet I have read and exemined fhl�gpplicefion end know the aeme!0 6e frtre end ��, �'C� O J � L��-� <br /> correct. All piovislons ollowa and ord/nances govemmp thls fype ol work will be compfetad <br /> whefher apecl6ed hersln or nol. The qrep�Ing ol e permrt does nofp resume fo g/ve authonry to <br /> vloio(e or can r�l fNe provlslons 1 eny ofhl3r afele ar local lew�equlet/nq canatnmflon or lhe <br /> woik/�o rw!ch eppl/catl�n Is made And I comp/y wifh the 8 ete Conf ra�cto�pLai�v 18 27 RCW and <br /> 296.200 WA� <br /> � <br /> �_ /�.��`.� ��9 <br /> Ipnalure oto <br />