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Sent By: KPMO; 425 481 0753; Aug-10•05 3:23PM; Page 7/2 <br /> nuv io uy rnu w�tic nll CYC� � ! �GNIII JGrtYIUCJ rnn nu, 4L0 "�� I� tkSEl � ••- �- � "��P� 81- ' . " <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMtT SERVICES <br /> 3200 CEDAR STRF�T, EVERE7T, WA 99201 <br /> 428-257-8810 - FAX 425.257-8857-www.averoUwa.org <br /> APPLICATION9 AR6 qCC�PTHO FROM 0 AM TO 4 PM •�EBR 8 CREDIT CARpS ARE NOT ACGEaTED <br /> �O�-�� I�� /� SE u�rrs F�6 <br /> PROJECTADOHEs9 • . <br /> Chvnr,� � � Ma11AdaRss Gy SUW/LD Phone ( <br /> ��a � <br /> Y_�0�� l5� AvE SE �� tIJM 'JSZOJ� <br /> Tenant MaN Adtlra� Ctty sbh/Lv Plane <br /> �, � 1/i�1�/ iJ.+�oa..� Olwy N �ios �n,�z�. !u¢ q�oi� 8 sz�! <br /> EI?clrir,3lCOnlra_Wr MaIlAOarcaa Cily St�wILP Phur.o ! <br /> /I-V i SES,�O 3Z�f '`S� • <br /> Statc Llconae NumOer Contract Pr1cs of Work <br /> ' ('�err f•Liw,�J qoz-3 3�/ <br /> P�opoaod Usa of Bu' ng Corroct Person (Plen Roviow) <br /> Descrlp6ono(WorkbB�Oona; __ Gp�aoG 6yrs�inS.ALc',kia..�{a� .dG�y`t�-� <br /> NOTE: WIRING ItJ WQN-DWELlIN08 IS ftEQl11REo 70 FEE <br /> BE IN RACEWAYS, MC ORAC CABLE. <br /> CITY OF EYERETT�LOCAL SALE9 TAX�COOE 19 3103 <br /> i <br /> !h,y�ub ccqiry th,7t!pav�re9d and oxamined Nle�ppfkaBon and know the same to e•frua and � <br /> cun�ecly�I!prcvisiono ol low�and adln�nus 9oveming thls fype ol wvik wA!be conrpleted I <br /> wn'm�r spoa,nad Aoroln pr noR The p�ntlnp d1 e pemu�dws nof pnsumo to ghro auMprJ{y lo <br /> via�to a cnncel fhe prownfon,+n!any nther staN uloe�l J+�w ropwrdng consGvcNon o tne <br /> po erma��c�oreonsructlon. Thnllnmeutlia/redEyrhaownsrdfhlapioprlyeop� e <br /> wnrN Jqr whicA appllcetla�fa meav nnd 1 vomply with 7he SYa(p Contrdctws Law 1 E.27 antl <br /> ?:in.200 WAG. . <br /> t I� <br /> g'-�D -OS` <br /> ;;ignawre . '—� Oaw � <br /> 1 <br /> � <br /> L_.---�_ . . I <br /> . <br /> C.SD�-C(�� <br />