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� <br /> 913-547-2529 Wa<hterCarporatlon �q. Wachter ��7:45p.m. OS-07-2007 Z/5 <br /> \ <br /> ELECTRICAL PERMIT �4PPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3'L00 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> , <br /> � <br /> ��� ���w� W� <br /> PROJECT ADDRESS <br /> Owne� Mail Add�ess City SlalelZip Phone <br /> �A cK5 <br /> Tenant Mall Atldress Gity Slate2ip Phone <br /> �Acµrr..a_ I��r�oi4c Sru�vrsnt -�rc /6C�(71 LJ. 49�Sr L�a9�w KS 6�lIG 9�3•sYi-L=aJ <br /> Eledrical Contractor Mall Addrzss Clry Stale2lp Phone <br /> � � c7� <br /> C�aACNTl�!S 9��Nz � <br /> State License Number �Contracl Price of Work <br /> (..f�in�lLe.c.� IV�-r9z�- J7�v2 Fl2c�zair�-f� <br /> Proposed Use of Fiuilding Conlact Person (Plan Revlew) <br /> Descriplion of Work io Be Done: ��"Ta��+}�� 8F !/Dxc.r H-D l7dsn+ �Qu�-s �LaJ-�'a'T1�;� <br /> NOTE: WIRING IN NON-OWELLINGS IS RECtI��RED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. Uo <br /> .,��� _ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I here6y ccrfily that I have read and examined this appl�:,ation�nd know fhe same fo be!rue and <br /> correc:. All provisions of laws anC ordinances goveming this type o(work vill be completed <br /> whether specified herein or not The granting of a parmit does not presume io give aufho�ity to <br /> violate orcancel the provisions of ony other state r rlocal law regulating constructien or fhe <br /> perlormance of construction. That 1 am authnrized by the osvner of this propeRy to penoim fhe <br /> wor(c/or which appl%cation is made and I comply wilh the Stafe Contrac(crs Lav�18.27 RCW and <br /> 296.200 WAC. <br /> �'S'� -- <br /> gnatu Date <br /> �cl7U�-G� <br />