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07/26/2007 14:50 2067268160 PACIFIC FIRE & SEC PAGE 02 <br /> ( � � <br /> �LECTRICAL PERMIf APPLICATI4N <br /> CITY OF EV�RETT pERM1T SERVIGES <br /> , 3200 CEDAR STREET, EVERETT, WA,98Z01 <br /> 425-257-0810 - FAX425-257-8857-�,vww.everettwa.org <br /> APPUCATIONS ARE ACCEFTEp FRoM 8 AM 1'O 4 PM �`�6_U`� <br /> / <br /> 5?�AuFs�/�5�y �fl � o7� i7Z <br /> ,, �f 9 z o ,EvE,e� EEi,• W,a y Sour�v <br /> PROJECTADDRESS ` <br /> Ovmef . IdollAddress � <br /> � . ��Y . Slate2ip Plionc <br /> S-rA�s�#i��[� .�92a Ev�,cs G/ .S Ev t�JA <br /> Te:�ant h7allAddress ��N QB�ZD p Ciora) 7P3-38� / <br /> Phona <br /> PA _�p�c �'iRF t � �a;RiTYJ-NCr �2S noGe.RR��c-,S� SER77LE �✓fl 98��� C�617� 3s6i <br /> EleetrlcalCcnhactor blailAddress - <br /> . . � . �'h' State2p Phone <br /> State License�Number Pu � . � ���'S � <br /> Contrae�price o}Work <br /> Proposed Use of Buiidlnp — N� _ <br /> Contact Petsan (Plan RevievQ - <br /> Descrip8on o}Work to Be Done: 1..oW VOLTAG[ � �i✓STALL /�1EiQ(� � E <br /> ��L�_MDi✓/7v,�iNG <br /> E �trFM . � .�- �2 <br /> NOTE; WIRiNG IN NON-DWELLINGS IS REQUIRED TO <br /> BE IN RACEWAYS, MC OR AC CABLE. FEE <br /> CI7Y OF EVERETT LOCAL SALES TA}'CODE IS 3105 <br /> I hereby ceniryther 1 hove reed and examirted thrs applica7lon and know the sume to be true'and <br /> whefher spe�jded hepre,nror�not��he g��ortil�g o!a permd doesynot res me to Br•C�a p/hoN y to <br /> p�e�oreinancenojconstruct an�That 1 am�authonzed by heraV ne9o�h1L prope yfo perfo�the <br /> tvodt fpctvhich applicANon is mode end 1 comply wifh!he Sta(e Conhacrors Low T8,p)R�w�nd <br /> 296.200 V✓AC. <br /> �gnature � t•C-G�L(J 7/1.G/p7 <br /> Dote <br /> Ec� �p 7—( ) a-- <br />