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08/02/2011 01:49 3608715045 SOUTH_SOUND / PPGE 01/02 <br /> C \ , <br /> ; <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMlT SERVICES <br /> 3200 CEDAR S7REET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org g—'a.�1/ <br /> APPLICATIONS ARE ACCEGTEC FROM 6 AM TO 4 PM � E I I �`O� ` <br /> �-F°120 �V PX ol V C(.Y� Ul A.�A � �V.Q,v(# ; <br /> PROJ�CT AODRES <br /> �,t�,�, GU (� �}°I'�0 �UCVq V Z1.4'� 'ulltwt �VP.V� L�I01 °� �b'L03 ��5 252-41oq <br /> OWIIAf MBiIAddIP_at Clly �lOtPfZip Phone <br /> Tenant Mail Address Clty Stal�p Phane <br /> Souiti� Souv,d Ele�iric. 10�14 SG Std�w�c.k-Rd*la`I PovlOv�huxd, vua'�193�cco (s�oo)���-3�� <br /> Eiectrical Conttactor Mail Atldrcss �= Clly Stat�2ip Phone <br /> S'bUTI� S� �Is�-K5 � � 2�00 .00 <br /> State License Number Contra�Wark <br /> D 1 h.k <br /> Pmposed Use oi Building Conta Poraon (Flen Raview) <br /> oescription of Work ro Be Done: W���N�� �.�i Y (.I.AA�t • �JJw� �'�- �'�-�+�-P� <br /> CAA�111� -Pcs'v C'�"Il�S -i DX W ��AX N�o,..C.�u_r..x. ` <br /> NOTE; WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. ; Qp �,$ .r-JO <br /> '-+p <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 here6y ceRily(hat I have read and examined lhis appl7caflon and know the same to be hve and <br /> conect. AI!provisfons ot laws and ortiinances qov9min.4 this tYpe o(work wi�l be,completed <br /> whetherspec�ed herein or not The grenting of e pe�+mt does not presume o g��e aulhonty Io <br /> violate orcancel fhe rovisions of any other state or local law�egulating consfruclion or tho <br /> peAormence of cons�ruction. That!am authonzed dy fh0 owner o/tl�is property to peAorm the <br /> 29B 200 WA h apAllcatlon is mede and 1 comply with fhe State Confracfors Law 18.27 RC W and <br /> ��, ,, � o � g <br /> �9��, re Date � 1/ o <br />