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nav 13 2006 10: 51flM north Fmerican Video, Inc �3601435- 1138 p. 2 <br /> �LECTRICAL��'-.PERMIT A'PPLICATION <br /> Ci'TY OF I�V�F�€TT PERMIT SEFtVICES � �_�(� <br /> 3200 CEDAF. STRE�7', EVERETT, WA 98201 l� <br /> 425-257-887O - FAX425-257-8857-www.everettwa.org �� 6 �/ - �� <br /> APPUCATIONS ARF ACCEPTE�FROM 8 AM"f0 4 PM - DEBIT d.CFtE�1T Cf1RD:i ARE NOT ACCEPTED <br /> � �a3 �i}w 5 c�/ ) <br /> rr.'vpr�_� [�� �l X��,�' <br /> �,Ri�rf �-A�P)`�c�., C <br /> � 3 ��'�-v� CK2x� �,ck� a�i� y�, <br /> owner rnau ndarass crry sia«zb l�9QYF/k, <br /> ~�;,�,.Ar-1 �n�f(1 � �<)�,4�� /�h �l�� �1/P�d4�� /�.}� � ���533$l�.ii <br /> Tenarrt Mall Atldress . Ciry SlalelLp Phme <br /> ��q,�ln U' �/ �� IG��C#�a"�A✓A� �1�t4 �z� �n/A Cf Xa�3 <br /> EI tricalContractnr MaYAdtlroas ��'� Cily Slalc/Zip ����113� <br /> �!,fl-r i�� 11 �'I r11 !� '. �—�-�L �t-� <br /> � ' Contract Price of Work a S p '(� <br /> tate License Number ;� <br /> , �-� J ' `' �� �i�na 3a�y <br /> - �� <br /> �roposed Use ot B ng Contact Person (Plan eview) <br /> DesrliptionofWarktoBeDone: �� N/a� ��/jtA���llc��t ��� <br /> �:, � , <br /> 4: <br /> !: <br /> NOTE: WIRING �N NON-0WELLING� iS REQUIREQ TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVBRETT LOCAL SAL65 TAX CODE IS S'f 05 �_�� <br /> l henDy certiy 7haf I heve read end examined this epplica n and know tho same fo be huo and <br /> cwrect. !UI Drovrslans of laws and ordinnnces govemfng f�b rypa o1 work wf0 ba com0lated <br /> whnfherspecrfied herein or nof. The granLnp of a permrt s not presume ro 9i�e auMonty to <br /> violete orcencol the proWsbns of any oNer state orlocal �W roguleh7rg consUucNon or the <br /> per/amanca of nw�struction. Thaf 1 nm auUrorizod by the dwne�ofthis property to peAorm the <br /> work forwhicb applicatlon is made and!comply wlth the SY6te Co++traotors Law ]8.27 RCW and <br /> 296.Z00 WAC. { <br /> � `� � �--� ► r � i3 ��°``- <br /> -�-� ����� oeta � <br /> �C��<< ����� <br />