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JUN-02-2009 21:17 From: <br />To:2578857 <br />/ <br />�. <br />ELE:_CTRlC�4L PERMIT APPLlCATION <br />. . °,�1TY OF EVERETT PERMIT SERVICES <br />•��; 3200 CEDAR STREET, EVERETT, WA 98201 <br />• 425-257-8810 - FAX 425-257•8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�j 3b� � <br />PROJECT ADDRESS <br />Owne�/� � <br />L <br />Tena t <br />�(1rr/0 I <br />ElecMcal Contractor <br />�S0�1T T F <br />Stale Llcense Numb� <br />Mall �ddre;s <br />5 � <br />I�Mail Address <br />,.�4� <br />Mail Address <br />Description of Work fo Be Done: v Q I�� <br />Gily <br />Clty <br />State2ip <br />Pa�e:1�1 <br />PhOna <br />Slalc/Zip Pnano <br />l'r. —i., i `i � �. � i r r <br />City SWIe�Zip Phor.e <br />�� (��� <br />Contracl Price of Work <br />�Q n SY�uX�l� <br />Contact Per:,on (Plan Review) <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CIIY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I herehy certi(y fhst 1 hsve read and examinod this applicafion and know fho <br />correct A!I provisians ollaws and ordinances govorning (h�s type ol work w <br />whether speclfied herein ornoL Thc �ranting o(a pormd does nof presume <br />viulate orcancel the nrovisions o( onv other sfefe oNocul law reaulatinn cor <br />FEE <br />�tobotruoand � �� {,� <br />contplatoA U <br />�e aufhonry fo <br />lion or the <br />o perform fhe <br />D.27 RCW and <br />.� � �--�-- <br />Pl� �� �zs �-� � -a5�� �✓���',�'°�"� <br />.� <br />� <br />