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01/16/2007 14:55 FAX 503091900°- 1S1"I'FK CONTROLS. INC. U 002 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 Lf � 13 _09 <br />425-257-8810 - I-AX 425-257-8857 - �wnv.everettwa.org 050 �f —G�IF <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Fred t leyt ✓ - <br />129DA P,,,N,ell_ Evtr,t NwY <br />PROJECT ADDRESS <br />YZ) - 3 S-7•20ou <br />Fred. Mc�,c f2906 Bo ,II-!-W, + Hwy r=�yereW- tlye 99zok <br />Owner Mall Address City SlatefZip Phone <br />Tenant f( Mail Address City State/Zip Phone <br />W`�fEp �'Oyt� tl�nc• PO. box 2S10 _—Tuefai�n nR Z_ <br />Electrical Contractor Mail Address City Phone <br />�l`T� le r T 9R4�TA <br />Sate License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done <br />7•• CbmDNEL .^� �w <br />1—�__��t••8svrt w�p Ct-.l..rt M r��p <br />C&S. C , <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />DE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of wcrk wilt be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state orlocal late regulating ronstruction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.222000 WAC. q <br />y t re Date <br />