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SEP-18-2007 18:26 From: To:2578857 Paee�3�3 <br />1001 <br />PROJECT ADDRE&S <br />Owner <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 <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />a G�Iso li <br />� �/��� 1001 <br />t11�'taQCQ��U- JQO/ �ll. �rc <br />AddfeSs C�ty <br />�•-��-07 <br />C o7os-uz <br />s4��1 as N , (jrc <br />N,��� q9 �l. <br />Phone <br />�' w <br />Tennnl M.ilAddrucs Cily S�aki7.ip �'r�honR <br />Gd <br />So►�� I Parl�,Y, ��2�► Ca.l��Orruas�,��'� (�1A, g�'Zo� 25s-3bs5 <br />Eleclrlc2l <br />Mail Addrasa <br />�SON�T��F948D� <br />Slate License Number <br />�rliCa Q ��tn •C�r_S ---•-- — <br />Pro aad Use of BuJding <br />Ci�y 54W2ip pi„■,y <br />� ( � %0 _ <br />Conitoct Prico o( Work <br />Decncrlplion of Work tu Be Dune. �� W YV �� JL�V � � <br />-�--�J.�t���-1JJ� - <br />NOTE: WIRING IN NON-DWELLINOS IS REOUIRED 70 <br />OC IN f2AC[WAYS. MC OR AC CABLE. <br />CITY OF [VCRET7 LOCAL SALES TAX COUt 19 ]105 <br />�1� Shou.�.( I-c2 <br />Conlwcl Person (Flan Rovicw) <br />SU� <br />1 hc�eGy ceAdy (hul I hnvo read end exemined this epplicaflon 6nd k�Ow fhe same Io t�e Iruu nnd <br />r.onect. All provis�nnc oll�ws and ortilnancos yoveminy fhlg fypn nl wnrk wiH he [Omp;!(ed <br />wheflter spe��rPd n�,�n, or nor The grenting ol e pemuf doef nnf resume lo pive aufRouly fo <br />vlolale or cancel fhe pruvisions o! eny other stafn arlor,alldw roguPaung �onstru:fion or �lie <br />pr.rlormm�r.e ul cons��uctrnn. Ther I am aufhonicd by fhe owner ol Uus proparty lo pertonn the <br />H�nrF Iw whir.h appl�r,a�rnn Is made and I comply wifh flie Sluln Con�ier.fors Lnw iB.27 FCW end <br />206 700 W�C. <br />�-I��-07 <br />�ignalure alo --- <br />-� <br />FEE ' - <br />�G70�i •(L Z <br />