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JAN-22-2009 09:25A FRO11:PPOFESSIONAL ELECTRI 360 435 1182 T0:4252576857 P.1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-0810 - FAX425-257-6857—v/ww.everettwa.org <br />APPLICATIONS ARE. ACCEPTED FROM 8 AM TO 4 PM <br />965— fs0 SJ S w <br />PROJECT ADDRESS <br />q;s- <br />pocrp� To�sor/s Sros- mod" sT-J'�✓ /—veiafl- fA / "PAS �.?7 <br />Owner Mall Address City Statelzip Phone <br />Tenant Mae Address City State/Zip Phone <br />P('ALS lenaI "eFle. c- 24M , 7_q t W-A 9 "a LT .SEJ YSJ%61, <br />Electrical Contractor Atoll Address cry Statelzip Phone <br />10✓e 01;rEA:5 tQ 77 A -A <br />hale/License Number Contract Price of Work <br />.Sii <br />Proposed Use of Building y ti Contact Person (Plan Review) <br />Description of Work to Be Done: r � /� _„' �i� J2o ✓ C, rc _ i i 7W/ <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cad Ihaf 1ltevo rend end examined IN appllcefIon end know fhe same fo b99 'rue and <br />comrcf. All p vlslans ol/awa and oMlnances go <br />this type of work will bo oomplefod <br />whether specl�led hereto 0r not. The proofing of a perm�f does notpresume fo plve authority to <br />vlo/Qfe or c��,eaenc�l Me <br />�rovlslons of any other state or local law repulaflnppoonaWyol/on or fhe f <br />walk ofawhlch app�lc onak mado and 1 c f mp/y Ndfd fho 5f tat <br />Co^Ihieclora 00 f0 2B RCW end <br />296.200 WAC.Signature Big <br />70( <br />q <br />