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05/18/07 fiED 11:19 FAS �25 J55 1810 DUITON ELECTRIC �001 <br /> � ..�$ � �08- Cs o05 <br /> ELECTRICAL PERMIT �4PPLICATION <br /> CITY OF EVERETT P�RMIT SERVICES /� <br /> 3200 CEDAR STREET, E`/ERE7T, 'NA 98201 ,�' i� / <br /> 425-257-8810 - FAX 425•257-8857—w�rnv.evereriwa.org � <br /> APPLICATIONS ARE ACCEPTEU FROM�f AM TO 4 PM <br /> Boew� Evcrutr Bwc. Vo •4t Cow.+N P�6 R��r 31� <br /> PROJECTADDRESS 3003 uEar las�uo Roao — £ti+Gac�T wA q92o3 <br /> Ba�va Co.�ncac�x A�ao�rucs <br /> Ovme� MeH AOCrou Cny SlotuZlp P�one <br /> 5ane <br /> T0n8M MallAtldrou Ciry Stad2�p Phono <br /> �vrtwE�ce,cic�.Tiac. 12Voi nvwiaso5y�nwy/117o t,,�nntioco wq glof7 <br /> Etectnpl Contrador Mail Addrese C�ry S�atclZlp Phona <br /> avrl"oEcigq P3 f 29. 95a � <br /> Stata License Number Cont�ad Prtce of Work <br /> Tcsr Con,�,oa. i2ep.-� oe Rc�cNu vas �a-3s�z <br /> Proposetl Use of Builtling ContaCt Person (Plan Reviaw� <br /> Descrip6on o�Work to 6e�ana: IZEPILt< C7vl7i�JG �Rt SUF'pI1CSfwV .sY3 TY� <br /> u.i Co�rmo� Rc�.� 3�7� �'���u�a� Y o- `�I . <br /> NOTE: WIRING IN NON•DWELLINGS IS REqUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE l�,1 �Fj <br /> J �I <br /> CITY OF EVERETf LOCAL SALES TAX COOE IS 3105 -7 <br /> I hare0y certdy thaf 1 haw mad antl oreminpd this app6cation and know the same fa 66 tNG and � G 1 V�— I�/� <br /> conucl All prpvis�ons ol/aws antl ordinancea qovemmq tn�s type oI werk will be cnnpletnd <br /> whether speufisd herem pr not. 7he gronting ol a pe/mR does not resume fo pfvc vuthorrty to <br /> v�ola(e or cancel the prowmons olany other state oNocai 1s�v iegaPae�¢consvucrro,�o.n,e <br /> perlormance ol consfruc�on TAat I am aufhonzed Cy Ihe owner ol this FroFerty fo peAorm the <br /> worK lor which app6conon�s mado anU�compty wiLS fhe Srate Contmc�ors Law t8.?7 RCW ar.d <br /> P96 200 WAC. <br /> _ /�� C �/� OS��6�0� <br /> �iUnawia 5a�e <br />