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OB/27/2007 13:48 2538636530 OFFI:E DEPOT:H2197 PAGE 02/02 <br />i <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES o <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857-www.everettwa.org <br />D 70� i8'6 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />p <br />/b/� l�f/��/�WS led WE C�r.�ypN �B <br />Omer Mail Address city Statel7ip Phone <br />Tenant Mall Address City Stale/zIp Pnono <br />IZ7-13 (owTe-errt0y Phu4cE Sv1t� <br />Electrical Contractor Mnn Address City Slate2i <br />p 253- gSr o1;% <br />RT6 <br />ISlate License Number Contract Price of Work <br />CALL $rim /EGaM k-- h2E --- <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: 5% f�,�e�CdP 6&vr&R77,e— 6, - S<I� <br />�'r�IhKP2 1-5� ��e 2-/ZO✓?o�y�G�tl&S <br />NOTE! WRING IN NON -DWELLINGS IS REQUIRED TO <br />0E IN RACEWAYS, MC OR AC CABLE. FEE <br />;I <br />CITY OF EVERFIT LOCAL SALE <br />S 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 />eofract. All provisions of lows and orrlinonces governing this type of work will be completed <br />whether specified heroin or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any Other state or local law rogulabng construct/on or the <br />performance of construction. That I am authorized by the owner of this ruperty to perform the <br />work for which application Is mach and l comply with the State Contractors Low 18 27 RCW and <br />296.200 WAIC <br />7 O 7 <br />Signature onto <br />EC7U�'1�'1� <br />