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MAY-10-2007 13:03 From: To:4252578857 <br /> I <br /> i <br /> ELECTRICAL PERMIT APPLICATION <br /> 6TY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 4 5-257-8810 - FAX 425-257-8857 —wnw.overeltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> G <br /> �� Fs(j-jl-- SCZ— <br /> PROJECT ADDRESS <br /> X30 _kLi1v_?d <br /> Owner Mall Address City SIstemp Phone <br /> Tenant Mall Address City state/Zip Phone <br /> rn i q <br /> Electrical Contrac,,v Mail Address City Statemp uha~o <br /> G,S' sic <br /> Stale License Number Contrael Price of Work <br /> Proposed Use of Buitdinfl Confect Person (Plan Review) <br /> Desciiptlon of Work to Be Done! LO(-3 Jo IQ <br /> NOTE: WIRING IN NON-DWE LINOS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,M OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALE 5 TAX CODE IS 3105 ' l ��1 <br /> 1 hereby certify float I hove read en oxanluted this applies on and know the gene to be true and f u V 5 V� <br /> contact. Allprovlsions of laws and ordinances ovominC frfl, type o/work will gene <br /> whether specilled heroin or not, a granting df a pemdl does not gresume to give euthl�my fo <br /> violafe or cencvl Vie prov slon o/ ny other stele or local law reou/apng construction orfho <br /> perfomtan��op of constriction. at em authorized byy the owne[[oflllls pProperty fo per�ml the <br /> work for whrah appfl000on is made nd I comply wBh the State Contractors low 18,27 RCW and <br /> 295.200 W CC <br /> J ro)J <br /> ,Signature ste <br /> J <br />