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nov 12 12 05: 40p P 1 <br /> ELECTRICAL PERMlT APPLICATION <br /> CITY OF EVERETT PEFtMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �;—/�/Z <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> (y�12/l --0�'7i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ; -1.;��,� jy-I" A�-� s�' <br /> ;, <br /> PROJECT ADDRESS <br /> (" �r �i lCli i''�, �/)(��'�I/�7�i7� �/��t;vr� �6��/C�f %�'%�C� ��� <br /> O�•mcr hlail Atltlress � Cily Slate2ip Phone <br /> �� �L SVE C'ir���5 /�'u�� /J,rr�,�i�r;n, /,�R��;�B ��3��G Sz�; <br /> Tenanl tdailAddress Ci1y StatelZip Phone <br /> r 4Z5`79Z-G�_ <br /> � � <br /> I t? ��l'17�"� / �C��JiC l.r�c ��lcl� l>>��`I S� �lv T�{=� ��Ir1a�OCG%�G;� ��Ok� <br /> Elecirical Contraclor ldail Address City �Stale2ip Phone <br /> /�l�l�k'TL-lG',S 3c=5 Sc�(�, oD <br /> Slate License Number Contract Price of Wark <br /> ��f'�.S <br /> Proposed Use of Building Contact Person (Plan Review) <br /> //�1 /� )/ , <br /> Dcscription of Work to Be Done: /-1ll[�l ����� .'Y!����r �x��?l/ ��U�CU�I�_ �ti✓ <br /> �f�u/ CiLCf'�� f��`I/�l�Cl1L��.5 Q�1 ��t�C�/�l�'l(_� �"('iG//� <br /> J <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RAC6WAYS, MC OR AC CABLE � � � <br /> Z <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3'105 ^ ,\ �Z <br /> 1 hereby certify lhaf 1 have read and examinad this application and 6no�.v the same lo be(ruc and ��Z � � U <br /> coner,t. All provisions of lau�s and ordinances gm-ommg this type o(work�vill ba eomp;efed <br /> whef.her specAied herein or not. The grantmg o(a permrt does not resume(o give authonry to <br /> violafe oi c.anrel�he provisions o(any otho�slate orfocal law ioguPtiny consWefion or the <br /> podonnance ol constiuc6on. Thot I am authonzed Gy tho o��vner ol l/rrs property to peAom�fhe <br /> �a-u�k/or�•:hir.h application is made��iU I comply�vith the Sfatc Confrac(ors Law 78.27 RCW and <br /> 296.200 WAC. - �; � . <br /> /i ii <br /> % <br /> �; 1 <br /> ( /) . <br /> ��(�r',�:,��� _-�� - _/2�2/%� //�i_?��/:� <br /> SfqA.ilurc � Dal � <br /> i <br />