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JUL-17-2006 12:00 FROII:PERI�IIT 42�7756315 T0: 14252578657 P.2 <br /> ELECTRICAL P�RMIT APPL(CATION <br /> CITY OF EVERETT PERMIT SERVICES `��_ o� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org �o6D'7—a9� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2Z2- 1 C�-wl �c� �-cJ-� <br /> PROJECT ADDrZESS �Z� <br /> ���" L.F��O�.t� V� l )��vl �Z22 l ��'l�Cl�/�- ���/ Z���� <br /> Ownef Mai diess Ciy Stole2ip Phone <br /> ���-�'--�.� ��l�e G[,� 'j��/9S �'� <br /> Tenant MollAddress City Slale i P one <br /> r.(Ja.�f� ���ru �i/[� � �� �f�larn��1ll�e,Q-�c cJ Z�L�� <br /> EleIXdral ContraIXor Mall Address ciry Sta�erzip Pr.ane <br /> W�! K�C.I�4� <<L ��� _ <br /> State License Number Contract Price of Work <br /> S� /�� - <br /> Proposed Use cf Builtling Contact Person (Plan Review) <br /> Desaiption of Work to Be Done: l � `�v�� � G ��// U <br /> - 7�S� Q<tit O ' O f/� � GL<< �- / <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 3105 <br /> 1 hereby certily fhat I heve read and examined fhis applicatlon and know the same fo be true and <br /> correct. All provisions ollaws antl ortlmunces goveming fhls rypa of work will be conrpletrrd <br /> wh9Ihorspeciflerl herein ornol. The granfing o/a pertn�t dces nofp resume lo give authonty(o <br /> violate or cancel fhe provfs/ons o/any other state orlocal law regulutiny construc�+on or the <br /> peAormancq of construction. Thaf 1 am dulhorized by the owner o/fhls property ro poAorm Ihe <br /> work lor which applicatlon Is mado antl 1 compty w/th fAe State Confrac(ors Law 78.27 RCW nnd <br /> 296.200 WAC. <br /> . � <br /> ' 7�1��U <br /> gnaWre �ale <br /> / � —7 / � <br /> �/'L� / �.� <br />