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Feb I1 2008 12: 34PM �LC ELECTRIC 2063645333 p . 2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 982Q1 � �11—DS <br /> 425-257-8A10 - FA,Y 425-2�7-8ff57 —�wrrv.everettwa.org C 0�02 �D�{� <br /> APPLICATIOlJS ARE ACCEPTED FROM S AM TO 4 PM <br /> �`1�,� 10�`� �.ct � <br /> PROJECT ADDRESS <br /> ���t C�a�-��.\� R1��, \�Gc� � ���ic��, .va�,�A� 4�� 3yZ. <br /> ��'�'�� Mail Addrees City Stele2ip Phano <br /> � <br /> Tenant Maii An�,ess City Sta�elZip Phone <br /> A�� E�c�c:e ��s� N \g�Ya� � w�.... ,v�wg��s�. �� �s��vy <br /> Electrical Contraclor �uaii qdaress c4y stete2ia ahone <br /> a�F �c -�.yR�� ��so - <br /> State License Number Contract Prica ot Work <br /> Proposed Use of Building ConWc':Person (plan Review) <br /> �U(I�UL 2' <br /> Descripti�n of Work to Be Done: �-p �� , <br /> �t-� �r��.�. <br /> NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> 6E IN RACEWAYS, MC OR AC CABLE. <br /> CIYY OF EVERETT LOCAL SALES TAX CODE IS;i105 <br /> 1 horeby ceriify that 1 have road and examined this applicah'on and know the samo to be froe and C�_. �.�L� - �,�{�� <br /> mriecL All provisions of/aws and ordinunces govemurg(his type ol work wifl be comp/eled <br /> whather spoc�ed herein or not. The c�rdnling oI a pem�rt does not presume!o grvo authonry to <br /> vrolato or cancel the provisions o(any other sfafo or local!aw regu/afing constroction orlhe <br /> podoonance of consWcBon. Tlral I am authortzed 6ylhe orner ofthis property to padorm the <br /> worir for which application rs made and!comply with fhe State Contraclors Law 18.27 RCW and <br /> 296.200 l�✓FlC. <br /> Z l\ <br /> Signature Dale <br />