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O:S/ 19/2007 1 I: uA F:1S <br />ELECTRI�AL PERMIT APt�LIG/�!i'I�N <br />CITY OF EVERETT PERMIT S�RVtCES <br />3200 CEDAR STREET, EV�RETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS .4RE ACCEPTED FROM 8 AM TO 4 PM <br />r'-��S ��"h pr �IV ��v r�- �C�1crv.iaod C��a-Ln � 30� <br />PROJECT ADDRES� <br />.[� <br />Tenanf <br />Geclrical Contreclor <br />Mali Addross <br />Mail Address <br />Mall Address <br />'v P�w���z�—L�ti�nc� <br />Stato License Number <br />��R <br />Proposed Use o( Building <br />—'7 c� � l <br />Doscription of Work lo Do Dono: L� � U � <br />NOTE: WIRING !N NOtJ-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />��I__�%vr-t Evrl-�Wq.`�`b2o1 <br />Clty StatefLip <br />Clry SlatrlZlp <br />_S�e�exF���h-%��i � � <br />ary s�aiarziP� <br />� SCAO .�' U <br />Contract Prico of Work <br />�\'l �iC u� <br />Contact Person (Plan Raview) <br />1 hereby cortify that 1 have read nnd oxamined fhls applicalion and knmv the sarne to be We and <br />conoct. All provlslons ollaws and orrlinances govemmg fhis typo oI work wlll be comploted <br />who�her speclRed hereln or noL The granting ol a porm�f doos not presume to give aufhcnty lo <br />violafe or cance! the provislons el any otherstate orlecallaw roDulatinp construcfion orthe <br />peAormanca of construction. That I am authodzed by the owner o/ fh�s properfy fo peAomi tho <br />work for whlch application is madcr and ! comply with the State Contractors Le�v 18.27 RCW and <br />296.200 WAC. <br />� <br />FEE <br />I�j001!OUI <br />Phone <br />Phono <br />Phone <br />