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Sep 26 07 30:20a Teresa Federspiel 360.794.7362 p.2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />� 3200 CEUAR STREET, EVER[TT, WA 982�� <br />42�-d57-8810 - FAX 425-257-8857 — vnvw.cverettwa.urg <br />qPPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM <br />�r1 LI �� �� �� � <br />PROJECT A�DRESS <br />l�;Yra��n� �u�j�.ViSe� <br />Owner <br />Tenar.t <br />Eleclncal Contractor <br />L�cense <br />Descnpt�on of Work to Be Donc. <br />,f�l� <br />L.`lz�l i�cv�°-f <br />Mail AdOresS <br />�.��ess ���` <br />Idail AOAmss <br />�`�7� I�VC;I�C.�T <br />NOTE. VJIRING IN NON-DNIGLLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SA�ES TAX CODE IS 1105 <br />I� n���eby certJy fhal I havo rad �nrl e��am�nod fh�s apµ4c+ <br />c"rmct Allp�ovisionsollawsandorUinuncesyo�e,n>ing <br />.�hefher spenfied herein o( nut j 7hc ryanbn] of a pennd <br />�Iv�oluteo�cunculthoprovj5ions0(anyofhei5fateo�local <br />4i;rformance o! consln�chon. tQ �; � am a��thonzod 0�� �^- <br />�,vork lo� �'�hich appLcdGon iti madc+ and I cnmply r'�P��fhe <br />�I.�9ti 2GO WAC. �� <br />l� i <br />, � �r�,� �� •�� f�L�- , . <br />Si9naWru <br />� �,��_� ��i�i�����tL. <br />� <br />� <br />C�Iy <br />Wft� �I <br />State2�p <br />Phonc <br />Cily SlotalLip """"' <br />,�c�. x�4,a� <br />�0 5<� Nler�YcCC l.� (i �� 0 LT% <br />Ci;y SialelZip Phone <br />L sc,o . �z, <br />— Contract Price ot JVork <br />know fho <br />ol�vork �v <br />r'� <br />Contact Person (Pian Review) <br />t z5 I��VY,� .�'-1'V�� � '�"C� <br />� �-i�,c,k-�i� 3i�l�w•.I <br />mre tu be uue anJ <br />hc camplotcd <br />� give au(honiy lo <br />rt�ction or (he <br />7y ;o pnrJo�m fho <br />�: 78 27 P.0 W anti <br />�. 2�%• c=' <br />FEEy, <br />J.• � � ..�U <br />��'1�`I-��� <br />