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07/16/2007 08:15 36065985'B NORTHERN LIpiT ELECT PAGE 01 <br /> � � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CFDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX A26•257-8057 —www.everettwa.vig <br /> APPLICqTIONB ARE ACCEPTED FROM a AM TO 4 PM <br /> ---s-----•---- <br /> /y6� --�r�.✓ 1-- ✓t ��� ._ . _ <br /> PROJECT ADDRESS <br /> �„(�//n" --�.. `�-�- --- <br /> �6.� .1,2i?���—w9✓'/.,�Y�i' <br /> Owner �Afy►�qAdres� Ciry StotNZlp PAone <br /> Tenypl HWII qy�Mya GtY 9tete/ZIp Phpl� <br /> No ��`��:-n .��t� �rL t/�c �'n r <br /> ElecMcelCoNra:for Mallatldross Glty SUharGD Pbone <br /> Stete Licenso Numbar Contract Price of Work <br /> Proposed Usa of�uildlnp Contacl Person (Plen Review) <br /> Douriyiion of Work ro Be Done: t�� r Y`�•t L✓ �Ya H7 <— <br /> NOTE: WIRING IN NON-DWELLING5 IS RE�UIRED TO FEE <br /> BE IN R/\CEWAYS, MC OR AC GABLE. <br /> CITY pF EVERETf LOCAL 9AlES TAX COGE IS 3105 <br /> I nereby certily lnar i have read and exemineJ fhrs appllcatlon and know fhe seme to 6e true an0 <br /> comecL All prorislens ot�aws and u,d�n�nces poveinrng tNs type al wnrk wll!be completed <br /> wnefher speGlied l:erem or nol. The granrfng ol a perm�t dces not presume to give aufhon(v fo <br /> v�nloto or cencn/th-provisivns ol�ny ofher stdte 0�IOce!IeW rCgufe(inp constructron or(he' <br /> pedorm3nce ol cor�strucUon Thef 19rti authonzed by fho o�mer of:hisp roperty tQ 0 rfg�n the <br /> �+crk rcr wnich npoiicuiion ia maee anU I comply wRh tno Srate Confractors Law 1 tl.2�HGW end <br /> 296 200 WAC. <br /> �'T/'_.�'����_ 7 0 � <br /> �-6 pnaTiura—'�'- � . . ay / <br /> . � �� � �o �_ � � <br />