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Jan 26 2007 5:38PM HP LFlSERJET FRX <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA gg201 <br />425-257-8B10 - FAX 425-257-8657 — www.evenettwe.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO � PM <br />�. ..�%,i _�'� ' �I_1 <br />-• ..- <br />Tenant <br />Eledrical <br />Mail AAtlresx <br />htcll AOdmfe <br />MeA <br />R�'o-r��rL q��� <br />State Licenae Number — <br />u2sl�c9 o n,1� c�1� <br />Proposed Use of Duildmg <br />ay <br />City <br />Ciry <br />s�ma�u <br />S�aln/Zip <br />Stala2lp <br />� r l, (1'�'� <br />ContraCt Price o1 Work <br />' K1Ck-f YJC l 1 � 1)) i Ll <br />Contact Peia (Plnn Review) <br />p.3 <br />Phone <br />Phone <br />Phone <br />Description ol Wark �o Be Done: �I..I�f 1'R(�!1 (� �.�-.�.( f� �(�' .Q�y (`�, �Q j�� r� � 0. <br />1� 0 e i 1 �(Yl f�/Yl (i ^�r- n \ � n n ✓n _ � � � � v., .. n n _ . _ � � _ � .- � , _ _ ._ <br />Y ��. <br />NOTE: WIRING IN NON•DWELLINGS IS REOUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF cVERETT LOCAL SALES TA7C CODE IS 3106 <br />I heroby cedify fhat 1 he�ro leAtl and exeminod this oppXct <br />mnect AU provisiuns of lpws antl ordinances govsminQ � <br />whclhvr speafiod herein or r�L Tfre granfing o1 e pvrtn�f <br />vr�l.vlv or G�ncel Ihe pruv�sions qf any ofher stele or bco! <br />peAomrance o/rnnstnicfion. TAat l am nNhonzeC by tho <br />wwfr lor whrdi npplicalion is mada end ! cnmply wilh fhe : <br />296.200 LUAC. <br />Slpnalure `� � ����� <br />snme to be lrue and <br />Jf be compkfep <br />ro giva nufhorrty lo <br />sfruchon or thn <br />aw 78 27 RCW end <br />FEE <br />