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12/04/2007 10:24 12063419928 GUARDIAN SEC SYS ACT PAGE 02 <br /> ( � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org /2 ` <br /> � `.b� <br /> APPLICATIONS ARE ACCEPTED FROM E AM TO 1 PM C 07/ Z <br /> I l n�S� 1�Y'D��,��..__ <br /> PROJECTADDRE3S <br /> O.vnef v MNI Addroae Gb Stato/ZiP Phone <br /> lil�.s��-��I`� <br /> LOS �y`:� n� �iC'pLr�l(nl� Y�'�v.IGI� ��W ik q�2.�I <br /> Tnnnnt MYI Add�eee City Stalolzip Phone <br /> (�t� �Ja.-bS�.IS <br /> �'-�t 1�1 • � co n��r��.r 1"14?� L�' R�le.. S . _�A-i�k-I��W A�?B <br /> ElecWcel Contradw khA Add Clty StetslZlp Pfwno <br /> ��a�a,�,�,K.� �35 � .o0 <br /> Sleto Lkana�Numbsr Conlract Price of W«k <br /> Proposed Use af Buildinp Contoct Poreon (Plnn Rovlaw) <br /> Dascriplion d Work to Be Dono: L�� [,� V�`_��'�'QGIC� �t��Y 1�1 �.��'�PYl _ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RP,CEYVAYS, MC OR AC CABLE, <br /> CITY OF EVlRETT LOCAL 8qLH8 TAX C��DE IS 3103 <br /> I heroDy certlN Net/hsye reed end exeminod Mla eppllcetlon end know fhe same ro be huo ond <br /> pwrect All pPoviaions of/sws end ofdlnencea govsming th�s typs ol wvrk will be complefod <br /> Wh0lhN s�ed herelll O�Ifof. 7Tro pl'Bltdpg o/o peimrt dans notpresume to pNe outhorily ro <br /> vlolote or cancel fhe�+oNslona oI�ny oMer stete or loce�lew rogu/at�np conshucNon or tho <br /> perlomianco ol car ructlon. Thet 1 em eu[horized hy me ownar o!thls property ro porlam fhe <br /> ttinrk Por which eppqcatbn la meds etttll comply wrfh fhe S7efe Confrect�ra Law Y8.27 RCW and <br /> 286.200 WAC. <br /> ��� �Wro �he <br /> 1L �/ ( ��'UVL <br />