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B7/03/2007 14:59 2064306155 EC COMPANY CONST PAGE 05 <br /> — -------'( "'_ ' <br /> ELE�TRICAL PERMIT APPLIC.ATION <br /> CITY UF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERcTT, WA 98201 <br /> 425-257-SG10 - FAX 425-257-8857 —www•evereriwa.org <br /> APPLICATIONS ARE ACCEPI'ED FROM e AM TO 4 PM <br /> � Y � v <f-r `18��03 . <br /> PFO.iECT A6DRESS <br /> Owner MailAtldress City SWta2ip PMne <br /> c Lo.��V!` �' � . <br /> Ten9nt 67ai1 Adtlre90 Clty Stnte2p Pnone <br /> ' " � "S�-_�_.�+a Av 1, i rvt i��e� ��R 8 ooi ���°3 -6 c <br /> Elaclrical Conlfsd r Ma'�Address Ciry StaleRip !T Phune <br /> � r ar� � � 148 .�A _ , 000. 0� <br /> State License Nufnbor ConlreCt Pdce of Work <br /> �r��Lt�32Y��c.'.L'. '��k.N �� �S� nl.- tr•-� <br /> �� <br /> Proposetl Use ol Buildinp Contacl Person (Plnn Review) <br /> OescripliariofWorktoBCDate: .y/�.S �'� /i �� / �.�fJ 1�t1 /�'� � � �p ��y�' GG�-l' <br /> �L i� .� C�.1� G;'1C . /� "— � ,L} <br /> C7 �� <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACcWAYS, MC OR AC CAaLE. � <br /> �J <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> /heroby,r °�v Ihat/heve road and examined fhls appllcatfon and know the same lo be true and <br /> corrocf. . �visions ollews nnd oro'lneneea govem/ng(hls type of work wili be complefed <br /> whefhar "hereln ornot The granting o)a pormrt c'oes not presume fo give aurhority to <br /> vfolafe c . fhe provisione o(any other atate or local law regulating conshuclion or the <br /> peAormu�. �consWcLon. 71�at I am oufhonzed by fho owne�olthls property(o podomi the <br /> woik for whiui applicafion made and I compty with the Stafe Confrec(ors l.eW 18.27 RCW end <br /> 296.10 �AC. <br /> `7-3-a7 <br /> bh]nm r �um <br /> EP7c�-o� � <br />