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01/25/2007 02 32 2063863916 «3488 P. 003(006 <br /> \ � <br /> � ELECTRICAL PERMIT APPLICATION I <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STREET, EVERETT, WA 98201 <br /> 42F-257-8f310 - FAX 42rr25�-8857—www.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM T�4 PM <br /> 121 �. f✓lari►�e �'� �'���,, <br /> �l CW I.�Y. Fl��i�ZH'� �'�� : ��u�� _ I � d' <br /> PROJECT/1DDRtSS �"t�' ��� <br /> I {.'�`'7„� JV�� ILI �11L�r"1 �'/ �� �� IOV�rnCJ �LjI(.JU� ���l�1 �L'U�lq 'GG• �G�C�• GT�'�l <br /> O�w�rier ' AOaress Ciry SWIJZip ?nor�c <br /> Tendnt MailAddross C1ry StatclLip Fhcrr_ <br /> (�l,t7%!�—( Ce�7�(�C[(!Gi <br /> LI rr�rr� ����;c. �.��S . r44'�~,Sf�f 3 7u�tivi lc� �ti� .��i�� w��=rt-��9�-��3 <br /> Eiecitical Contracior fdail Address CBy Saie2ip Phone <br /> ����tNc'�q46t�L �h:G <br /> State License NumG:r Contract Prtce ot work <br /> Jl.��ll1�� y-��,7�� tl✓C� <br /> Proposed Use o(6uilding Contact Parson (Plan Review) <br /> Description of Wark io Be Done: QGILf � ��r(-f-�1 / <br /> NOTG: WIRING IN NON-DWEI.LINGS IS REQUIRED TO FEE <br /> BE W RFlCEWAYS, MC OR AC CA6L[. <br /> CITY OF EVERETT LO�AL SALES TAX GODE IS 3105 <br /> !here6y ceri8y[ha[I havo ioad and ezamined lhis application and know the same to be fr�e and <br /> curr�f. .vlprov�sions o,`la�rs end ordmanccs yovamrng(his type ol�rerh w�'16e comp.�eted <br /> wh¢Iher spec�t�hC/Btll Of npt. llre granLng o!3 p'ni7n dces nef p�osume fo qive auflierrty t0 <br /> viola(o orcancY:l fhe provi5i0ns Of any other stste orfocal lax��eGulafirg�ronstruc:ron or tha <br /> p5rformancti clmns✓uG�on. Thst I am authon:ed by the on�ner of this propaty to perform 1ne <br /> �vOd(/Of whiCh rppliption is R13d2 and f comply wrN the S:a(e Cn�ntfaCtors Low i8.:7 RCLV and <br /> 29U.2J0 WAC. <br /> � '� _�;9 <br /> _ �,f�,.� � . a 1�- �� �,(� <br /> ynamre Da;e /� I a � I <br /> �JI <br />