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05/10/2005 08:25 425353690B <br />L&L ELECTRIC INg <br />PAGE 05 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everefta.org <br />APPLICATIONS ARE ACCEPTED FROM a AM TO 4 PM - DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br />307 04'1 82-02 <br />PROJECT ADDRESS qO <br />sr Mall Address City stalHZlp Phone <br />Tenant Mal Address City Statezp Ph" <br />Li C lEL&M I c- 401 CK6yI *gr UMV 90 MAIL10 aM 9bZ7s I%Y}l ffier bf <br />El/c" Contactor Ma: Address city �.,Stawzp Pliers <br />Z.1- tJ1C 13 %I �--4A telmnn <br />Stan License Number Contract Price of work I. <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of work to Be Dome: �tf{E NEW SIA)b.I.E F.4 du/ IZ&S10L`AlGE /IUCluD�M6� <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL BALED TAX CODE IS 3105 <br />r hereby tartly that I have mad and examined this ampscafion end Maw the same to be true and <br />correct. All provisions of laws and ordinances gave in$tors typo of work wig be eompfMed <br />wherrsr apacmed nepBr n or nowt. The granting of a pomml does notpresurnofo grre author ly to <br />pea ormance 0 conSlNtfion hat I af anymtaut stoma bad law <br />of regulating <br />fb perfoion rm fhe <br />work ppr Which appdieetion is made and 1 comply wr the Stab Contrvcbm Law 18. 27 RCM and <br />296.200 MAC. <br />pnaNnDate <br />