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Feb 02 07 OB: Ola P• 1 <br /> i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVER�TT PERMIT SERVICES <br /> 3200 CEDAR STRE@T, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTEC FROM 8 AM 70 4 PM <br /> I tI l.F C.�LA��U/a AV 'y 2s <br /> PROJEC7 ADORESS �/ -� <br /> 44R� dL ���(1 �`//� G L/�4�/��i/ EV ���e � d lS� <br /> Owner Mau Addnsa Cily Sbte/SdP Pho"e <br /> 7ananl Mall AdCroea Ciy Snce/Ap y� rnwr+s <br /> �r.-�, ,,e,�ti ��,c 3�oi � v .�..� �ci p��mi '�ia� <br /> FJpCtrlcnlConVador MailAddress Clty StatelLp P�e <br /> �t'L.r4 ,c,S��v z � n <br /> Stata Llconso Numnar Contract Price of Work <br /> S �� <br /> Proposed Use of Bullding Contect Person (Plan Review) <br /> DaecripUon of Work t0 BB Dono: ouTl/a�' �./� I1/�cCl1�%2 ZL.S -- <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FE�� w <br /> BE IN RACEWAYS, MC OR AC CABIE. <br /> CITY OF EVERETf LOCAI SAIES TAX COD�IS 3105 <br /> !hareby ceRily thef/heve read end exemfned ihls application and know ihe same fo be lrua end <br /> correcr. AU provls/ons ollaws and orolrtances govemfno NIS typB Of wOrk w!U De compleled V,GZ-p�� <br /> whofhor speeifieu hereln or not. The prenOnp ol e pennx doas not presume ro glve euthond to � <br /> vlo7afe or cenCel the urovlsfons ol eny ofhar stete orloCel!ew feyuletinp ConSvuCUOn or 1ho <br /> peAormence ol consinrcticn. That J am aufhonzetl by the owner of mis properiy ro perfg rm the <br /> work for whlch oppllceNon Is made and I Compty wlfh the Stefe ConVacfors Lew 18.27 RCW end <br /> 296.200 WAC. • <br /> ` � �a <br /> pnawro aie <br />