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MAR-23-2006 07:30A FROM:PROFESSIONAL ELECTRI 360 435 1182 T0:4252578857 F•1 <br />( �. <br />ELECTRICAL PERMIT APPLICATIC►N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 98201 <br />425-257-9810 - FAX 425-257-8857 –www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />► . <br />i � i �� �. ���� � ■�. <br />.� .,- <br />OwnOf <br />Tenant <br />. Mal� Address <br />Mell AddreSS <br />�ss�anav � yo�.� �� <br />ConiraCtor Mall AdEress <br />RO �ETo-t� ___ <br />State Ucan e Numbor <br />r�2Si��Z�l� �aw�A— _ <br />Proposed Uso of Bullding <br />Doscrtpllon ot Work lo Be Dono: <br />NOTE: WIRING IN NOIJ-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Clty <br />ciy <br />Ciry <br />Slale2lp <br />SletelLp <br />r <br />��� i�m'\ <br />Stale2lp <br />Phone <br />fi"'] <br />�� <br />�3s S <br />Contracl Price of Work <br />C.nAAx� F i�-YI�KM <br />Conlect Person (Plen Raview) <br />thef f heve reed end eremined fhis epplicalion end know the samo lo ba hue end <br />vlslons ollaws end ordlnences goveming this type of work will be compfefed <br />ed he�ein or nof. The granfing of e pennit does notp rtrs�mo to glve aulhorily fo <br />�Ifhe provlslonsolanyotherstefeorlocallewregulatingconstructionorfhe <br />construcfion. Thel I am eu(hoNzad Oy tho owner o/ fhls property to peAorm the <br />appliceflon Is mede and 1 comply wilh the Slale Confrec(ors Lew 18.27 RCW and <br />FEE <br />� 5�5• � <br />�G�>�- /�',� <br />