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07/16/2007 11:23 2536391742 <br />HES044 PAGE 02/02 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 99201 <br />425-257-8810 - FAX 425-257-8857 — www.everellwa orq — b �� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />— -- — &vtip�-l�t B,1s INrcy t�� *�37->, <br />lg a9 vie-c�,r�rn ����� <br />PROJECT ADDRESS <br />S7fV toNC, /�l l Vael>1NMQ Avg &W-frr (44 1��20/ (zS)Z51-370 <br />Owner <br />b4all AAAfers CityStelnRip Phnn� <br />Tenant M11eil Address City State/Zip Phon• <br />�lw�c+� Sic �/w Po Box S710 COVIW'Imrj wA IS44 (253)459.0 <br />Electrionl Contractor Mall Addioss city Stxtelzip phnre; <br />NPNqi�"I NH tSOD ---- <br />State License Numtxtr Contract f nm. Of Work <br />RfSlfl�r�1(aL- 'I)AV� ktPN�Y _ <br />Proposed Use of Building Contact Person (Plan Review) <br />DescttpfionofWork toBeDone: INKp`� WAU/-�ENsq= <br />FEE <br />BE IN RACEWAYS, MC OR AC CAB <br />NOTE: WIRING IN NON -DWELLINGS IS ABO111RED TO LE. — <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />1 homby certify that I have read and examined this aPPA"tlon and know tho same to be buo and <br />anrect. All provisions of laws and onlinances governing this "of work will ba complotOL <br />whettxtrspeci6ed herein or rot. The granting of o porntrt does not resume to give aulttodty fo <br />violelfe or cancel ure F(novisioas of any oBk)r sfato or local law regulating consfruchon or the <br />porfomranco of un ,Wction. That I am authorized by the owner of this nopedy' to perform the <br />work for which app catfoll Is made and I comply with the 6tlfe Convadom Law 18.2/ HGW and <br />296. WAC. r <br />711� ano-7 <br />5 nit � DBIC <br />I <br />