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oct ol 07 10a41a P• 1 <br /> ELECTRICAL PERMf�' APPl.ICATlON <br /> CITY OF EVERETT PERMtT SERVICES <br /> 3200 CEDAR STREE7, EVEREYT,WA 98201 <br /> 425457-881 f1 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> Le b�Jr ���� (S.141�� T V <br /> PROJECT ADDRESS �.5 L/ <br /> � <br /> c7"i¢C,1c ���n�G.. 33 0� SCt �'s r s �F'U 9�zo� �°3� <br /> OWf18f M�II Add�07� Gty Shb21p Phon� <br /> T@�ant Mall AEtlro�� Gy 34ts2�p yZs P�uro <br /> flx(-I4N 4�E11, S r_� �G o/ liV �(/ �E{L Q�,�j � Z�7 '�Gi <br /> ElsetrlCa��+mtrodor hLll Addnaa Gry StatellJp Phone <br /> iC 1' �n� SS/y k� r� <br /> Stete Li ense Number Con/req Price of Woik <br /> f�� <br /> Prc,poced Ue9 of BuIl0lnp Contact Person (Plsn Ravlew) <br /> Deccrlptlon af Work W 8e Done: �!G f��/4C� �11t�t/1/ f�U1Fv�]",���,/����� <br /> NOTE; WIRING IN NON•DWELLINGS IS REQUIRED TO PEE <br /> BE IN RACEWAYS, MC OR AC CABLE. yS a G <br /> T <br /> CRY OR EVERETT LOCAL SALES TAX CODE IS S10b <br /> 1 horaDy certlly thet I havs read end examinso'this appliceL'on end Iv�ow the seme ro M Vue end <br /> corcect. Alf provlslons of lews and ordlnences poveminp thfs type of woik wlll be complststl <br /> whetAer specd7ed hero�n Cr not. The pianOnp oi�pormrt does not prosume to plve sutno�lry fo <br /> vlolefaorcanee1}hs proNslonsolanyoNerateteorlxsllewropu/atlnpconshuctlonorthe <br /> peAormancs olconswcUon. 'fiet I am autAorl:sq by tAr owner o!thls ropeRy to psAorm ths <br /> work for whleh eppficefion 11 meds and 1 comply wi(h the SMro ContracPrs L�w OE,27 RCW antl <br /> 2GB.200 WAC. <br /> /O �/ O _ �JU� <br /> ipnatwe u <br />