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JIIL-14-2010 21:3' From: To:2579957 Paee: l�l <br /> � �\ <br /> � ELECTRICAL PERMIT APPLICATION <br /> . CITY OF EVERETT PERMIT SERVICES <br /> _�' 3200 CEDAR STREET, EVERET7. WA 98201 <br /> 425-257-8610 - F/ilC 425-257-8857 —www.everettwa.org <br /> APPI.ICATIONS ARE ACC�PTEO FROM 8 AM TO 4 PM <br /> .5a5 i,�o -�,�o �� - <br /> PROJEC7 ADDRESS <br /> .� Y-( �L�I �� <br /> ow�,�r Mall Address C�ty SIBIB�Zip ��� Pnunc <br /> �p SS C. �Q-n n eu - ; , _ � ,� � � �Sc�-1 <br /> Tenanl 61ai1 Address Clty � SWtUZ�p Phonc <br /> �onr�ro� �iG�ic �?a� l �'r,��.��6r���.� �1Qt'P�- W� GB?n� `�n�2c _�F 3655 <br /> EIecU�c81 Ca�trOclor Mail Atldroc; Clly StateO,ip P�one <br /> SO➢U27P �I��D7 � IGaD � a <br /> Slatv Liconso Ntnnber f.ontract Price ol Work <br /> � /�lI — D� ' �.s hou�4�' <br /> Propo���uildmd � Contacl�lan ftevlew) <br /> Dr.�cription ol Work lo Pc Done: VL� I� . <�1-lM� �� ���j� <br /> _�..----]-� COVI.��'6 � C?��U�C- `S� <br /> _L <br /> NOTE W IRING IN NON-DW LLLINGS IS RE�]UIR[p TO FEE �� <br />� BE IN RACEWAYS, MC OR AC CAALE. � , <br /> � <br /> CI7Y OF EVER[TT LOCAL SALE$TAX CODE IS J706 ; <br /> I I.erehy CCRiIy fh9f 1 bave read and exomined fhis applicafion and know Ihe semg fo bb Irue and . �`� � � � � < <� �' � <br /> correcf Atl pmviSronS OI laws ontl ortlinances go��emrn,q tliis fyp�ol work wil/Ge eompleleJ <br /> N�he(Ner spr,cihnd hnrain nr not Tire prnnlin.0 u!u ponnrt dc�ec nol presume fo p�ve aufhantyW <br /> vio�afe or caneCl fbe prowsions nl any other stafe orlocal lAw regu/afinp consfruclion or fhe <br /> prilonnentC OI COnslrud�on. Thaf/arn outhonretl Gy O�c owner o!thrs propmty fo periorrn thn <br /> �sork lpr which app'ication is rnede ond 1 comply wdh fhe Sfafo Confracfors Law f027 RCW end <br /> 296.2 WAC. <br /> ���e� 7-- IS�Ib <br /> „ianaturr. Date � <br /> P���se �� �Zs �� ► �a5 y� , <br /> � er,n,�.��- c.u�ou►� <br /> ���.�P... _ _ --_... .._. _��=- - --- _ <br /> _._____ _.._._ _--- . �`�C"._-._._------- <br />