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I�1RY-7-2010 08:37A FP.OM:PROFESSIONRL ELECTRI 36� 435 1182 T0:4252578B57 P.1�1 <br />ELECT�ICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 982R1 <br />425-257-8810 - FAX 425-257-8857 — www.evereuwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />—�--i2 N. �3 �oa.lw4.�. <br />PROJECT��DDRESS <br />//�/�-.�r�%r d� A�s.b�e4 4�v3 F.iS ,�v�riily- Sd,b� <br />Ownor MailAdJress Gty S�ale2ip Phone <br />��Of% /-J '''f Sc ��J SO ivr c <br />Tenant Mall Addrese Gry Siaie2ip pnoo� <br />P/OT P S1 � O n e � .���tGiYiG ��s r /�� ✓.j � % � �r.f 1�� �.tJ./� <br />Elodrieal ConireClor ldall AdNmss Cr,y State/Zip Pnone <br />/��o�ee �'0 77��C <br />Stete Licensu Numbor — <br />.Sc //✓ <br />Proposod Uso of Buildinp <br />yr� �� <br />Conuacl Prico of Work <br />Conlatt Person (Plan Rewvw) <br />Doscriplion ol Work Io Oo Done: f-%/Y�r/ '� C��« � J`/ �o G v�b he J�`" <br />� i'C�4 <br />NOTE; WIRING IN NON•DWELIINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC C4BLE. <br />CITY OF EVCRCTT LOCAL SALES TAX CODE IS 3105 <br />I heroby cort/fy fhdf I 6¢�vv read ond oxomineU this oppl�cn(ion nnd know tho snme fo be Irue nnd <br />eorrocL All p�ovlslons ol/a�vs and ordinences governmg 17iis f}�p0 0! work urll Gn r,ornplafed <br />whefh�r specll7od hurein or no[ The preNing ol o pprmd doos not presume fo givo aufhordy fo <br />vlolafo or canCel fhe prorfs/cns o/eny ofher s(ato or locellew repu/efing construcGon orfhe <br />poAormanco o/ cons�rucfion. 1"hat 1 am aufhorhod by tho o�rnor ol fhis proporty fo periorm flie <br />work lor which appllcalion is mndo end 1 compry tvilh !he Slafe Contrec(ors Low 18.27 RCll�nnd <br />296.2UU N'AC. � <br />� /17�. „f � %- <br />f-EE <br />U �o� - oZ� <br />