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To�. {) Page 1 of 1 <br />2011-12-21 21-.51 03 (GMT) <br />125376902G8 From� Eric OLen <br />yf � i�+ <br />� � l: t� �n�.n C� � L.L" O� F.� i� F?i�� lm�r�'E-'. _�\✓1 d-o (2 ��3> '. ZG%' :a� $ <br />� .. <br />�LECTRICAL `PERMIT APPLICATION <br />CITY OF EVERETT.PERAIiIT SERVICES <br />- 3200 CEDAR STREET, EVERETT, WA 98201 � z�ZZ--,(� <br />425-257-8810 -. F,QX q25-257-8657 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM T0.4 PM �J///Z �� <br />���—�J �V�Jp�(CC'.r � �Nc.�-�vcrc"t'%�?•�I <br />PROJECT ADDRESS ' <br />�Qvc_l:�l.yD:t.�.EaIS�� •7�`6�Z`j �.,.����«.��Y.. �Cv�I�t� U'r,'�,� 1S2e3 <br />Owner . � - � � � � � � Mail Atltliess - . � �, � �� - � Ciry � . � -State2ip . � . . � � � Phono � <br />��',4Y Rc��k,15 �g2s t„�r� ���h ��� L`�����•rr--= �./�: q�„� <br />Tenant � . � � - Mail qddress , � � ,' �Ctly - � . � Slete2�p �_ . � pnone . <br />��SE/U �(�CrRICAL �i�(,C�;'��:� livca2�5�,(%i/+�C�i�W �-vF1�9iS�.'L2 �Zs�-�i-��uG <br />EleclricalConVactor..' � - .MaiiAdaress.� �. �- � ciry ���, � � � SiotMip��.. � � Phone <br />OLSc�t.J t� u 3 ��.t- � 29 2:2, �v <br />Stale I_icense Number _ - � � . - � _ : _ � � � � �Conlracl Pnce,of Work �. � � � <br />Ccv�- r-�e {C 7�. ` L� c� 1�,�'� <br />Proposed, Use of Building � - _ � � � � �. . � - Contad Persen (Plan Review) ' , - <br />Description o( Work to De Done: �" `•S C. Qe w�`i ,. (�' 1C� �- -S•` 41 °ti M�.�` v<<"�« �' r 2 <br />�:c��;t'� � : y 1-✓ �•';, --� <br />NOTE: WIRING IN NO�'-DWF.LLINGS IS REQUIRED i C <br />BE IN RAC[WAYa, MC OR AC CABLF. <br />CITY OF EVERETT LOCALSALES TAX CODE IS 3105 - � � <br />! horaby cortity Ihaf I havo rood and ozaminod this appGco[ion nnd knmv tho sumo !o bc in�o and <br />conocl. AI/ provisions ollaws and ordinancos.goveimng flris�lypo �oI work will be completeU. <br />wAc(her spec�Ged hcrcin or noL The gronfing ol a pennrf doos nol rosumr, ro grve�aufhonty lo <br />violt�lo o� cancel !hn prov�sions oJ any ollinr sraro oNocal IawreguPting cons(n�tUon or fhe <br />pedoimanr.e o/ cvns(n�c6un. �h.lf I Onl QuUrOn70(1 by fhH OWI]BfOI f1115�roPerfy'o pe�lonn the <br />wodc far whi� app/icahon is madti und I cornply �vi(h the SfOfe Cunln, c ors Law 7D.2I HGW and <br />� <br />FEE <br />Cl! 1 z- l3� <br />