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09/09/2008 07:45 4254B85288 <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE7, EVERETT, WA 98207 <br />425-257-8810 - FAX 425-257-8857 —www,everettwa.org <br />APpLICqTIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />���Z � �;�'7-r dMt.c— W�1',{ yllk�/ <br />PROJECT ADDRESS <br />Owner <br />Mali Adtlress <br />Cify <br />PAGE 01/01 <br />C(..ej,_.GF� <br />C; 0 80� -a �3 <br />Slale2ip Phone <br />��.t�P,i�E I�-Fo2. s� �uc�.-,r wwz� ��f ��.rr �v4- '�zo� <br />'I'enant MailAddreas City Statetip Phone <br />2 S3 <br />�}� TC.GciZf7� Sq�L'��c��3 1/i3'L`i !�. iP-t�x�Piw f F� ��4T Osi71c'u k.�q- 9�lL�// 3'i-"F - I f 41� <br />EleCtdcalContractor MallAdd2ss Cily StatalLip Phone <br />�pi S�Sy�}3'zuS <br />Stale License Numbe� <br />Proposed Use o( Bullding <br />�Q� 000. oU <br />Cantrad Price of Work <br />12c� 1'�c 253-3'}'�•tl�.� <br />Contact Person (Plan Review) <br />Description of Work to Be Done: ln�9�t+-� CGT✓ �' �w1eE C� 'T� �(S�� S <br />' (2S Dt�Jlc..t� � <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TU <br />BE IN RACEWAYS, MC OR /;C CABIE, <br />C1TY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />I hereby certi(y thet ! have read end exemined this application and <br />canect Alf provisrans o(lews and orclrnances goveming lhis type � <br />whefher specfied herern ornot The grenfinq of a pe�,f dnes not <br />violats orcaocal the provisions ofanyothersta�e oNOCa/!awlega <br />per/ormance of construcfion. That I am authonzed by fhe owner o�� <br />work• kr whlch app!lcslion is made and I comply wifh !he State Ca <br />296200 'NAC. <br />i i ♦: <br />FEE <br />� to be true snd �/� (..J (i ` �"O�� <br />re aulho�i�ty [o l.% <br />tlon orthc <br />o parform the <br />8.27 RC W and <br />