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FEB-26-2007 07:33R FROM:PROFESSIONAL ELECTRI 350 435 1182 T0:4252576857 P. 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> ����` CITY OF EVERETT PERMIT SERVICES <br /> ���`� l `n 425-257�BB10 DAFAX 425-25E 885 E�iwvw.eve?ettwa.org (, U((� � <br /> PLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT&CREDIT CARDS ARE NUT ACCEP D_/� <br /> �606 CdSCa�/e Or�✓e <br /> PROJECT ADDRES9 <br /> ; �i.st00% C/..� 766n C'c,t�c./� ,Oii�.c .�✓.t✓+�tt L✓A ���.h�J <br /> Owner Mall Add�ess Clry 6tale/7Jp Phone <br /> TBne�l Mall AddreDe Clly Slela2lD PhOne <br /> i <br /> i 3cu <br /> I ���tssiu �. / L%rrti. � l c ��oi9 a Y5 A//..c � G/�{ 9f',>J y�J- 6,�i.t <br /> � Eloctricnl Controclor Mall Addiaea Gty � SlatalLp Pnone <br /> I <br /> , _1�R u �=,c,� ro � 7 ,E.� �3c5� �° <br /> � Stele Llcenae Number Contrncl Price ot Work <br /> i <br /> I _�KPic ,sC. /.S«J G �,�J ('/( _ <br /> iProposetl Use of�Bulltlln8� Conlact Person (Plan Review) <br /> I <br /> Deacrlption of Work lo Be Done: ., r�G / h,..0 � ��/,/,... �,., � �T_t t�r4,�' Q <br /> � M��/ ,-u�,..-,s <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS]709 <br /> 1 here6y certity fhe!I hav6 read and nxamined fhls nppllcaflon end know fhe semo lo bo fnio and <br /> correcf. All provlsions ollaws pnd ordlnunces povnminq thls typo o!work will Ue compleletl <br /> whofher specillnd hnreln or noL The grenfing ol a pormrt does nof presumo�o y4vo eufhotlly fo <br /> vlolefe or cancel fhe prov/sions o/ony olher sfnte o�locel lew repuleflnp construcfion or fhe <br /> peAnrmqnr,n nl conslruc0on. Thet I am outhorYzod by fho ownor of thfa property b pedorm the <br /> work foi wh/ch applica;lon is made end I comply w/lh the Slefe Contraclors Lew 7ii.27 RCW and <br /> 296.200 WAC. <br /> _�-u� /�,�.. � • a�. �� �l <br /> Slpnaluro Oqte <br /> Ec7G2 -/'IZ- <br />