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From:Electro Serve 4255624948 05/na/2009 15:10 >529 P.002I002 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />�aiy �t" s�- <br />PROJECT ADDRESS <br />3o�r-ba.rr�. 1-5»orv' ��71'i ��"' St- E�ruttt� .�J?r/�l�acl �','aa�33`i-SlS! <br />Owner Mail Address Ciry Slalo/Zip Phone <br />Tenant <br />Ddatl Address <br />Ciiy <br />State/Zip <br />Phone <br />E/e�r� S�„er iti s i v Nd �� Sr � f�3 3e(le��- wk/�8cx�7 (yaS�CaS"3-yu$a <br />Eled�iCal ConlraCtof Mail Address City Slale/Zip Phono <br />E�ECTS * �I aa �'S 1-5 <br />Slate License Number <br />-��; ��.�, ��.r <br />Proposed Use of Building <br />�escription ot Work to Be Done: <br />� <br />j�`�f, 7 SC�.�� <br />Coniract Price o( Work <br />C�uru '��rJ <br />Conta er n (Plan Review) <br />�'.(Nl'1 Pv'1��` YOaY» . <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE rn� <br />BE IN RACEWAYS, MC OR AC CABLE. �/��,.. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />fhat 1 havo read and examined fhis npplication and know fhe same fo be true and <br />�visions o(laws nnd ordinances govemmg this type ai work will be complofed <br />ed heiein or noL The granting ol u pert»d does notp resume to give authonty to <br />sl !ho provisions o/ any other s(ato o� local law regu/afing consWcfion or fhe <br />' const�uctron. That f am authod<-ad Gy fhe ownor ollhis property �o peAomi lhe <br />npplica(ion is mado and I comply wilh !ho State Con(ractors Law 18.27 RCIM1 and <br />