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DEC-29-2010 21:44 From: To:2578810 Pare: l�l <br /> �. <br /> ELECTRICAL PERMIT APPLICATION <br /> , CITY OF EVERETT PERMIT SERVICES <br /> ,.ti'• 3200 CEDAR STREE7, EVERETT, WA 98201 <br /> ' 425•257-8810 - FAX 425-257-8857—www.everethva.org <br /> ���/�o <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��O�,_�G�� <br /> 33 i0 h� �'es�' <br /> PROJECT AODRESS <br /> Ownur Mali AdErcs� Clly 61o1e21p Phone <br /> ��1_JI IILUr.I � <br /> Tenent MWI Add a Clly SUIslZlp Phonc <br /> ��r�ro�. ��ic �?,?1 �ll�ern,�c� �ii,P�P�}- I�llh �iB 70l y,a -�6.55 <br /> . <br /> EletUitel Conlrncl0� Mall Addhn Clly � Slalcllip Phone <br /> So�urrP �9��D7 <br /> Sta�e Gcense Number �pnlract Prico of Work <br /> �n1 o�,'c� �Q� Shcru.a.�' <br /> ?rop000d Use of Buflding Co��ecl Pereon (Plen Revlew) <br /> OoacrlpUon ol Work W Ba Done: _(1J 1�J Y�I '��� 5 ,.� <br /> �'.o�.�^� / �1_._ d�U%�s��... <br /> NOTE: WIRINO IN NON-DWELLINOS IS REQUIRED TO 1 FEE • <br /> BE IN RACEWAVS, MC OR AC CABLE. � � <br /> CITY OF EVERETT LOCAL BAL68 TAX CODE IS 9106 <br /> I hereby cehily Ihel l heve reetl ond examined fhla ap 1lceflon end know fhe aeme to b IruV pnd <br /> co�ct. �ll piovlslons o�lawa ontl ord/neneee ovem9ng lhls fype ol work wlll be cwnp�efed <br /> whsther spedlled hereln or not. The prentinp S/e perm7l do�s nof rnsume fo pWe aulhonty fo <br /> viWere w cance/fhe provlslons o/eny olher stafe or focellOw nguPetlnp consfrucf, i or tne <br /> peAc�mence o!conslrucftun. Tbef/am nufhorized by tAe owner o/fhls property to perlorm the <br /> wo�k lor whlch eppllcetlon is meda�nd J comply wifh fhe Sfefe Conhacfora Law 18.27 RCW entl <br /> 290.2 WAC. <br /> ► �o �;, o�a - i 9 � <br /> Pl��e�� ��, 9� � —a °° � <br /> 5y� . <br /> �.�..���ar�ou�- .�� . ,. <br /> � a� <br />