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�EP-19-2011 01:14 From: To:2578857 Paee:l'1 <br /> � � � <br /> .\ <br /> . ELECTRICAL PERMIT APPLICATION <br /> ; GITY OF EVERETT PERMIT SERVICES G_�.`�� <br /> ,�' 3200 CEDAR STREE7, EVERETT,WA 98201 <br /> 425-257-8810 - FA'C 425-257-8857 -www.everettwa.org [//0 9//� <br /> APPLICAT�ONS ARE ACCEPTED FROM 8 AM 70 4 PM <br /> ��� 1� � �P� l� s�orc. - �arks (�Id� � <br /> PROJECT ADDRESS <br /> p�yper � Mail AdOrese City StatelZip , r���e <br /> �-r <br /> �fc.s-Fore a�a '�� S� �n.re� ��Zvl �Sd 5�ry <br /> Tenant Mai�address Ciry 5�ite2iv Phonc <br /> �r�o� rl�i� �?� I ���L�Orn,ic{�PD'P$�- I�IIR c1K?ol a�3655 <br /> Electrical Coniractor Mail Adarese City S1�tWzip Pnone <br /> so�z� P ��'��D7 � 3f � 7s� <br /> Slele License Number , Contract Price of N1ork <br /> �u�L b������ � n 5�-��' <br /> Propose�Uso o(Building Contact Parson (Plan Rtview) <br /> Description of Wotic to Be�one: l L)t�� V O I ' � v`^i"" � ��I lJ" � !1�(�l��i / <br /> r <br /> con.�r'a l � d��iG�FS,,! <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�105 <br /> I hareby r.eAiry Ihat I heve read and examined this application and know the same to be true and <br /> comecf. All provlsions oI lews and ordinances goveminq fhis type ol work will be completed <br /> whell rer spcwifieU he�ein or nuL The granliny o/n permrt Uoes not presume fu give aulhority lo <br /> violafe er eencel 1he Frovisions of any other sfate or local lew repulafinppconsfrucfion or th� <br /> wo���Wh cn e�ll e�aGon�s made end I com�I1ew thine Sfate Conf e�c(orspLew 18 27 RCW end <br /> 29G.2 WAC. PP PY �I � � . <br /> ��� 9 20! I <br /> P�/e�� `��" �� ' �a5y� � � � �oa -► , � <br /> . <br /> . � <br /> ��j�,�.,�__..__._ cv►�`°ur�- _-�c���--- <br />