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Uec 14 2007 8: 27FM RLC ELECTRIC 2063645333 p. 2 <br /> I <br /> i � <br /> i <br /> I <br /> I <br /> I <br /> ELECTRICAL PERMIT APPLICATION ; <br /> CITY OF EVERETT PERMIT SERVICES ' <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org � <br /> i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � <br /> � <br /> i <br /> i <br /> i <br /> S\�'ti C ' .�1 �low j <br /> PROJECTADDRESS � <br /> I <br /> y�.s .�,a .s�y ! <br /> �:^�.ti�,�a�..p ��..��w 6�1�+ ��iw��le.. E�x�,��w 4S6zo3 i <br /> Owner Me�i anarou c�ty State2io Pnone � <br /> i <br /> 1\ U h �r � I � <br /> TBn2nt MailAWresS Gry Sln�^lGp Phone i <br /> AA�z _F\e��c�e �.3�,Z N \�b�� � �oc�..�„ �.�A ��\b'� 7Jae.�.s.�o <br /> Electrlcal Contraaa M.all Atldress C�ty State2lp Ptwne • <br /> i <br /> A��F�e�q�.,00 ��5� - � <br /> State Licerne Number ConUacl Price of Work i <br /> I <br /> Proposed Use of Building Contact Person (Plan Review) ' <br /> ` . i <br /> Desaiption ot Work to Be Done� ������ Qx�'I�AT.., �v.��c�ia.� . � <br /> c <br /> I <br /> I <br /> � <br /> 1 <br /> I <br /> i <br /> NOTE: WIRING IN NON-DWELLINGS IS RE4UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERE7T LOCAL SALES TAX CODE IS 7706 ; <br /> I nereby certiry tY,at I have road and oxemined this applicah'on end I�aw the same ro be true and � <br /> cofrecf. All provlslons u lews end ordinances govemrrg this typo ol work wi/l De completed ' <br /> ���he(ner spec�fwd lrerum cr not The gran6ng ol e pormd does not presume fo giva aufAairy t� ; <br /> violafe or cancal U�e provisions oI any othor sfafe orlocaf!aw iegvlahhg conshuctron orlhe �� <br /> pedormence ol construcb'on. Thef I em auNonzed by fhe owner o{this properiy ta perform ffie j <br /> �ucrk kr which application �s mede end I candY wRh the State Cwtrnctors Law 18.27 RCW and <br /> 296200 WAC. ' <br /> 1 <br /> � <br /> C ' <br /> �_��, �zl�y�o� <br /> Slgna:ure �7ate , <br /> �U? I 2-078 <br />