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Sep 20 07 12: 13p P• 1 <br /> ( <br /> � ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STREET, Eb'fiRE7T, WA 98201 <br /> 425-257-8610 - FAX425-257-8857—www.everettwa.org <br /> ApPIICATIONS ARE ACCEPTED FRO;A 8 AM TO 4 PM <br /> /90�' P�,5,�ic �t-Y - s'���— <br /> PROJECT ApDRESS <br /> Ownef Mall.�tldro:s Clty $late2ip (i� P�one <br /> T <br /> /4 �C rP1�ElS ll.�l� 13o�unt lYa� P�c.iPlc �/4 v �f�o/ �`�� 3�r',S <br /> Tenanl MaiiAdOress Gty S�ateA.ip u'� Phonc <br /> . , ! <br /> k�'��,�n. _I�s .�4 0� Fv �w �u 9�',zei �s� .?/� L <br /> Elect�ical(:onl:acbr Mail Address� � City Sta�21D Pnone <br /> �f'L.4 N.l,�/'�Z C-.!' . . ?� �-�JD`'v <br /> State license Number Contracl Price of Work <br /> (O/1�M,�N'— <br /> Proposed Uso of Ouilding � Contaet Person (Plnn Rcvicw) <br /> Descriplion of Wo�k to De Done• U��J/C�.��b 7`�L C�,QG . <br /> NO7E: WIRING IN NON•DW ELLINGS IS REQUIRED TO FEE <br /> 4E IR� RACEWAYS, MC OR AC CA6LE. / � � <br /> i� <br /> CITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 <br /> I hcre6y certify fhut I hnvn reed antl examined fhis epplicntiun and know fho seme(o be true nnd <br /> correc�. Al1 provlslons of laws and ordinancas goveming fhis type o!work will be cocpleted <br /> whelher sp�cihed hereln or noL The pranting o!a permrt Coos not presume!o give authority to <br /> violale or concc�l fhe provisions o/any other sfate orlocal/aw rogulafing consfrucfion or lhe <br /> pe�formance ol constn�ction. Yhat 1 am authunzad by the own�r of fhis propeRy to perform the <br /> work tor wli�ch applicafion is made and 1 comply with the Stete Contrnctors Lew a8.27 RCW end <br /> 29G.2o0 WAC`� <br /> �' � 9 �o a � <br /> s nawre o e <br /> ���u�- I� <br />