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RPR-12-2007 16:06 From: To:425257B857 Paee� l'2 <br /> � � ( <br /> I ELECI"RICAL PE T <br /> RIV�I APPLlCATION <br /> CITY OF EVERE7T PERMIT SERVICE� <br /> 3200 CEDqR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-885�—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED Ff20M 8 AM TO 4 PM <br /> I��� z���- �s-� �P,� 9�r <br /> PROJECT ADDRESS <br /> lam�a NcxNia� �nS �—; � y�s�s�r.�x.��,.�-��, �aaa � <br /> �B� MailAddresb City Stata�Zip Phano <br /> _ S✓-�f'»� 3�S {��'X U� <br /> TCnanl MallAddress City Slale/Zip ihono <br /> �G ( C1�.���,r�i GZ ��-�-� !i IGi �f bo�� <br /> EloctriCal Contraclor Mall Address Ci1y Stetc2lp Phpie <br /> � �'' -����&U� �� ��lS <br /> Stale License Number Conlract Prlce of Work <br /> 1�Pvt�. � C7���C� <br /> Proposed Usc oi Buil�ing Contact Person (Pl�n Review) <br /> Ooscrfption of Work to 6e Done: l,,c� � � <br />� NOTE� WIRING IN NON-DWGLLINGS IS REQUIRED TO FEE <br />� BE IN RACEWAYS, MC OR AC CABLE. <br /> GITY OF EYEHETT LOCAL SALE9 TAX CODE IS 3105 <br /> I heroby cer(i/y(hat I have Iead antl esamined this appliCation and kno�v fhe sAme to bc frue end <br /> conecL A/l provisions o//ews and ordinances gnveminp this type o(work wlll bu conrplated <br /> whefher�pecilicd hereln or noL 7he gran(inp al s parm7f doos no(P�asume te givg eu(honty fc <br /> v/olatoorcQnceltho proN5i0nsolerrynthersfateorlvcollewrogulaf/ngwnstruchonerfhe <br /> wo�k l rawhlch appliceilo�s made and 1�rompty wl(h thc 6ta(e Contracl�rsNlaw 18 2!RCW�and <br /> 296.200 WqC. <br /> ��vi.i, �?`1ra��.J _(f// 2�D 7 / r � <br /> SipnaWre Dato — r l,� J <br /> �� , <br /> � <br />