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Aug 16 07 12: 03p p. l <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425�257-8810 - FAX 425-257•8857—www.everettwa.org <br /> APPI,iCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> %�l �f IZ�Cl,e TcFTLL1�h, f�IJF `�2S <br /> PROJEC7 ADDRESS <br /> /h �r�- l�u�E't� lsly /1� ,� �, 9f �e, �� <br /> � <br /> Ownor A1oll AdCrosa Cld Stace/Zip Phone <br /> Tenant A'all Addross Clty State2lp u� Phone <br /> FL�Il��rr./n �'�..�ltvl �U �V �l/ 9�1s i '.�s', .?/G! <br /> Electr:c�l Contnctor Mall Atltlroes Clty ��Sqte2lp aMne <br /> �f�h�lU.f�/`�2 ta'° <br /> Stato licanse Number Cantract Prlca of Work <br /> s��. <br /> Proposstl Use ot Builtlinp Contact Pprson (Plan Ravlew) <br /> Descriptian of Work to�e�ono: /_�-G77��1 fi��f'Fc�V/�°�' K /r/L /1�C..� Cr//?G!J/1 <br /> NOTE: WIRING IN NON-DWEILINGS IS R[QUIREO 70 FEE <br /> BE IN RACEWAYS, MC OR AC CP,BLE. �� Q^ <br /> CITY OF EVEREIT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cerflfy that!havo read and sxaminad fhls appffcetlon ond know 1he same fo De true and <br /> corcac( Al!provislons ollews and oMlnencos qovorning this type of work wlll bo compiotoC <br /> whefher specf�ed hereln or not. T'he grantlng of a permd daes notP rosume to Q1ve authodry to <br /> viofafe or cancellhe provfslons ol ony other stete or locel/a w regulatinp consfn�cUon or the <br /> performancn o!cons�rvctlon. That 1 am a�dhodzed b}�ths ownerof thfs propeRy ta peNorm!he <br /> �wrk lor whlch epplicat/on Is made en0!comp/y wlth fbo SYeto Contrecfors Lew 18,27 RC W anC <br /> 296.200 4VAC. . <br /> � o� /�' p <br /> �o e� <br /> � o�G� ' 13�- <br />