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05/21/2008 16:50 FAX 425 257 8741 CITY OF EVERItV <br />119M l� <br />( FAX NO. : <br />121002 <br />l Jan. 16 2000 02:53AN P2 <br />j ELECTRICAL PERMIT APPLICATI-ON <br />CITY OF EVERETT PERMIT SERVICES o8 <br />3200 CEDAR STREET, EVERETT, WA 08201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org EO �OS—A e? <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />% L tr e Iz <br />PROJECT. ADDRESS <br />fell Ave, 'Eyelt4f, <br />Gwntrr tma AVdreis; city stalcozip Pfwne <br />Nas, <br />e1 V111"w I�Ome cave G9t`7 kVe1Z6K ey t veev/I` Gail 9d'.�o3 <br />Tananl M1011 AdMass Ciiy ut2Tcp FnWt2 <br />aVlV J �4S2. <br />Ail- SeRV nrlinun.rr.,hid�r Ari�it�✓ `/(%ice �6G 7JS-7(J5, <br />Electrical Contractor Mall Addrnee city 51atemp PnorM <br />SFc 01-14 <br />Stale License Number n Contract Friceof Work <br />N I &--v eSs A,< " L <br />Proposed Use of Building / Contact Peron (Fldn Review) <br />Description of Wotk to Be Done: �� �'� 04 & Ae / G ld 2 �C <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CTIYYSK I;';ERETT LOCAL 9ALESTAX'CODE 15 3105 <br />l harab ca2Yy that I have read and ayammod tlils app;,'ca:lon and know tha same to bit Irua and <br />oo ro JIC ovnkrns of taws andord1nan4es ovamtnp this typo of -work wiTbo.compfofed <br />whotlrersp ad boroin ornaL The granting Sfa parmd aces notprosvme to yrvo aothorp to <br />viotafu or carcal fho provlaonc cf cny ofhor state cr.ccsl sr+repulating consu �Icf un <br />6nr'�fon anc@ bf rlin$T/ lon js a a and I ompl:6 ith Men owner of(f a CaLa yio pOrldrm the <br />296.200 WRC appbc..don Is made and! comply wife Me State Contraclt,>m LAw 18,27 RCW and <br />pn�t alit <br />o�oS�D I� <br />J <br />