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JUL- 11 -2006 09: 33 FP011: PEPI11T <br />4257756315 T0:14252578857 P.2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT F ERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-25 -8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PIA - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />qZF c <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />67" ` J-`t J�6J <br />b rhC h'lrt f jle_� q2,&- q <br />W&Sk Li <br />Electrical Contractor <br />Mall Address <br />PA f f,Te�tj cc_V4-w� q:s-.:zd(0 <br />City State2lp Phone <br />q2_ r'? j— ?Pe <br />Mall Address (�ii��� City Slate/Zlp�0&„ nZ Phone <br />ewv Z<fe4D 4ir N /�, A /cam �'�'i[{j�1riYc,�'ynV` <br />Mall Address <br />W4-fLi t C=II "7-7l0p <br />Stale License Nu(m�b[eerr_",(,, <br />' 1 ' — <br />Proposed Use of Building <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this application and <br />correct. All provisions of laws and ordinances governing this type <br />whether specified herein or not. The granting of a permit does not <br />violate or cancel the pprovisions of any other state or local law regu <br />peAormance of construchon. That I am authorized by the owner of <br />work for which application is made and I comply with the State Cot <br />296.200 WAC. 1_x <br />City / Slale0p Phone <br />75Z)c — <br />Contract Price of Work <br />Contact Person (Plan Review) <br />n <br />FEE <br />to be true and E (J� (S"1 _ � )mplefed U`� <br />authonty to <br />and <br />