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MRR-14-2007 07:32R FROt1:PROFESSIDNRL ELECTRI 360 435 1182 T0:4252578857 P.2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9B201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�33� f� // .r'i— <br />PROJECT ADDRESS <br />/Ue�.�%.,� ,E <br />Ownor <br />Tonant <br />Mall <br />Mall Address <br />U1 <br />Cily <br />Clly <br />State2lp <br />Slate/Zlp <br />Phone <br />Phono <br />f�'o�sS��o.,� / E/r iG'�c T.-. � _ <br />Eloctrical Conlrector Mall Address Clty Slafe2lp Phone <br />p�2o `.El= .I'o 7 7.t�1 <br />Statu Licunso Numbar <br />Proposed Use of �uilding <br />Doacrlplion of Work to Oo Dono: ���[� �� ��r-�'�`r �•�i�.tJ <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, PAC OR AC CABLE, <br />CITY OF EVERETT LOCAL 6ALES TAX CODE- IS 3105 <br />1 horoby cortily fhnt I havo road <br />conect. �ll provlsions ollaws c <br />whether spuci�ed hmoin or nof. <br />vielnto or cancol fho provislons <br />poAormanco o/conslruclion. T <br />work lor which application is mt <br />296.200 WAC. <br />fhis appllcnlion and know tha <br />aovormm� fhis fvae o( work w <br />7S`8 0 � <br />VVlllldVl Flllrp UI ,Y� VI1� <br />Conlact Person (Plan Ravfaw) <br />3 f0 bB INB Alld <br />contpleled <br />�e aufhonty to <br />lion or tho <br />o peAonn fho <br />8.27 RCW and <br />FEE <br />, C� <br />� �� �u, <br />