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A;r. 28. 2U11 10:47AM Light Do�tor No. 9516 F. 1 <br /> � �• <br /> � � v �,�� o�� <br /> ELECTRICAL PERMIT APPLICATION"�` �``'' ( <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREIT, WA 98201 (,� ,�a� �( <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org �r/O,/`/� . <br /> _� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3-.`�'20 7G.i��a. `,h <br /> PROJECTADDR�SS � <br /> � .- yis• �-��34� <br /> OWnef MeilAddrecs Cly StalelLip Phone <br /> Tenant MellAddress ciry SletelLp Phone <br /> lC � l¢V['� ('y�0��D� �f,fQ, ��•�� <br /> Ele ical Confraclor ManAdaress Clry sWtemP c1"��j Pnone <br /> � �f\A A�YrC1 q�—.�c�..�J `�P �yJZC�� / <br /> Stala Lice e Number Contract Price of WcrK � <br /> com,�,.ca..n.�. �1a.v�-�.�. �-p��u. <br /> ContactPerson (PlanRevlew) <br /> Proposed Use of Bullding `/ c— / ^!�1 C/J/ �/ <br /> 1.-) � <br /> DescripUon o(Work lo Be Done; �{� 4lVlG `�`�'lb'�r1.� �—s� <br /> � e H <br /> P c�La ,�r3� C V�� �,t�a��r ��n k r-fe�.0 c�xc� � ({,�4t� .�_n.L <br /> NOTE: WIRING IN NON-DWEI.LINGS IS REQUIfiED TO • • ��E <br /> BE IN RACEWAYS, MC OR AC CABLE, /' �� <br /> . /3.� �' <br /> F <br /> CITY OF 6VERETT LOCAL SALES TAX CODE IS 3106 , <br /> 1 here6YcwtffytheE 4heve read and examfned this appRealion end know(ha same(o b@ hue aad <br /> co�ec[ Afl prov/slons ollawS end om'inances gov¢rning this type o�1 work wlll be complOfed � <br /> vroeteorcancel�,e�p�mvisionso�anyo�fh�e/rsfateaorloce�ls�vreBulatfn�conslrucfianor�the fo � <br /> peAormance o/constructlon. That 1 am aufhonzed by the ownerof Ihis property fo peAorm fhe / � ! //�� <br /> worN for whlch appllcetlon is made and 1 comply with fhe Stafe Confractors Law 18.27 RCW erd / �� <br /> 2 B.20p WAC. , <br /> / <br /> , <br /> .2„ .� � � <br /> ipn9lure Dafe <br />