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07/23/2007 04:18 2069328530 C & R ELECTRIC PAGE 02 <br /> f EVERE7T PERMIT SERVICES �✓VI/VV � <br /> O7/24/P007 OA:46 FA% 425 25T �7 , ' ' <br /> ELECTRICAL PERMIT API�LICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7RE�'f, EVERETT,WA 98201 -� ..a. 4 `d� <br /> 425-257-8810 - FAX 425-257-8857—Wuvw.everettwa.org r J a�b�_�37 <br /> APpIICaTIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /v 9a� g� � st <br /> PROJECT ADDRE55 � <br /> y�s- <br /> �✓ lv ar 19�' � �e G� � 3iGv9yP <br /> OWnOr M311 AddMss City �SmM20 <br /> 7enaM <br /> Mad Address CIh/ S��p Pho�O <br /> f-� �le��fe-,z �4 t5o�' S� 43+�ri'h C�f} J�l(e� �-olo -937-3G5! <br />� �y���l Contrador Mall Addross CHy StateRip Phone <br /> C (�E/�.T.�Sl�sow o�?, l�96 SD - <br /> State Licensa Number Ce�Rract Price cf Work <br /> �GS 5���"� �n��Pa�n {Plan Reviaw) <br /> Proposed Use of duilding <br /> DeSdSption of Work W B9 DOne: CJ<<-e n w T Z 's -4o Mc�u a4 C'�Cd-a�•�— e�Fk�s-I.�s <br /> C`�r a;-l- a: ler � �d ci '�- . _ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREDTO � <br /> BE 1N RACEWAYS, MC oR AC CABLE. <br /> CITY OF EYERETT LOCAL SALES TAX CO�E IS J10S <br /> !hereby cartrfy fh&i f nave read ena examrneC this applica0on enJ know the same fo 6e We end <br /> eorrecL A!I proWsfons of le�ti•S end ord�nanaes goveming th�s rype of K+ork wlll be_oomplefed <br /> whether specA/ed hereln o�no4 TAe grenling of u pemfl�dces nofa rewme to giw authairylo <br /> vio/ate or cancgl the Movlslons of any omersfate orlocal law reguleting consWctlan vrthe <br /> parformance of ccnsWcUon. Thet 1 am aufhoriao4 by fhe owner of this propedy fo perform!Me <br /> work lar which applicabon!c mede and f comply with ihe Stafe Contracto�s Lavi 18.27 RCW end <br /> 298.200 WAC. <br /> � 7�a��o7 <br /> �9�V 2 l�dtB <br /> ��lZ�� -[3 � <br />