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Sent By: PSS ; 206 937 7331; Mar-9-07 8:36AM; Page 1/2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETI, WA 98201 <br />425-257-8810 - FAX425-257-8857—www.everettwa.0rg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />t4QjZ56 Ev�� µ�-�- v.cl4y <br />E �t�ET� W 4 S9 8�LQJ8 5 <br />PROJECT ADDRESII <br />suFzE7t' "u— t4m2- SE ewEi Etoem WI 9B2J 4,25-3,w I��) <br />Owner Mall Address City Slatelzip Phone <br />GKIC, 3(ZD GTu bvt✓ r- tTZ -,6k) =a �- L 15 22 417--m- 470 <br />Tenant Mall Address Cdy State/Zip Phan <br />c�ec5�U►�o 73 .ttags 45m--4kv QVe5tf) zmb 9s1-6soM <br />Electrical Contractor Mall Address City Statolzi0 Phone <br />r!m5LA4 5Cb . 0 _ _ <br />State Licenseumbe Contract Price of Work <br />I `r�411_ -I-� <br />( 470to g3 7 / cj%V4 �TSF�tokt5 <br />Proposed Use of Building —� Contact Person (Plan Review) <br />Description of Work to Be Done: i t,1S t T I OKI 0G �Ic_ 0 / —:�— &ic <br />��1�LC ��ox t 11Ui�4 l ET- EX-I"Ex.1Slo,, C1F <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />1 hereby certify that 1 have read and examined this application and know the same to be true and <br />correct. All pmvisiois of laws and ordinances goveminq this type of work will he, aunplated <br />whether specified heroin of not The granting of a permit does not presume to give authority to <br />violate or cancel the PPmviswns ofany other state or local law ragu/ating"nstrueinn or the <br />performance ofcons Wction. That I am authorized by the owner of this property fo perform the <br />2 .2000C. application is made <br />-and I comply with the Slate Contract=Caw 18.27 RCW and <br />K <br />ignature Date <br />