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Aug 21 07 OZ: 34p p• l <br /> ELECTRICAL PEI�M�T. APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT.WA 98'201 �r7 �.�j '7 <br /> 425-257-8810 - FAX425-257-II657—www.everettwa.org, �070g'{� � <br /> APPLlCA710NS ARE ACCEP7EA FROM 8 AM 70 4 PM <br /> i��� rs � sr- _ 9�� `�`, <br /> PROJC-C7 A�DRESS Z�� <br /> I�FCTk��-�lt� I 6.5 !�' �'� �t� / �° S � . 2a � l� <br /> OWn6r MallAtldrazs Cify SW4IZIp Phone <br /> Tenont Mall Addrees Clry � � 3��ateZp l/).,[ Phona <br /> Gn ,� <br />' �,,Y.��ii�'^ .�lL�' �GG/ �^t/ .�.I/ k'U q/'.2e� _ �9 'v�f� <br /> EleCtriCel ConlraCWr MalbAddross Clty . Smte2lp Phope <br /> '����'fl�` � Contract Prica of Wo�k <br /> Stete LiCensa Numbe� <br /> Propos d Us�uildlnq Contactperson (Plan Revlew) <br /> DeccripGon af Work to 8e Done: � � /��' G m <br /> /11 e � f � � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC ORAC CABLE. {O dy <br /> ti <br /> CITY OF EVERETT LOCAL SALES 7AX CO�E IS 3105 <br /> !horoby certlly thet 1 havo roed end exomined thls appllcolion end know tha same to be Vue ond <br /> correcL AIf Provlsions oflews&nd ordlnences goveminQ thls rype of work wlf!ao comple(od <br /> whether speGlied horoln o�nOt The grnnUng of e pemd does not�resume to plve authorlty to <br /> vlol�le or Cencol fhe provlslans of any ofherstate a�locef letv repulOt/np construCtion or Jho � <br /> paAoimencv o/consWctlon. Thai I am authorized by 1he ownerof thls property to pedorm!ho <br /> work for wnich app�IcaUon IS medo and I comp�y tivlfh fhe Sfate Contreclors Caw 18.27 RGW end <br /> 296.200 WAC, <br /> � <br /> pnoture � � , <br /> � ���C��-1 S 3 <br />