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00;09. 2005 II:41 FAX 14253979060 GEDDIS ELECTRIC <br />003 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 98201 <br />425-257-8810 - FAX 425-257-b857 — inawt.everetbNa.org <br />APPLICATIONS ARE ACCEPTED ROM 8 AM TO d PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />21,A 6'--yc & �M Z�P 7L- 5/LJ <br />PROJECT MDRESS <br />It-1 San & 161a14 <br />Owner Mail Add•ess <br />enam <br />�`K-0`36fi7fL Wk y8;1< ¢a5-5438-10�10� <br />Gry <br />8t3t6ZIP Phono <br />St3torLP Phone <br />�e dd�s /cc�ric, eAte aaa� /30!/ �Vrf (� e✓�n� 1 yra5q �a5 39� -9oG_a <br />Electrical Contractor r Mall Address City St2W22P Phone <br />Stele License Number <br />Pmpcsed Use of 13widing <br />Descriptloo of Work to Be Done: <br />htal Ad cs <br />City <br />tE'f <br />NUTS: WIRING IN NON -DWELLINGS IS ^'=OUIRFID TO <br />BE IN RACEWAYS, MC OR AC CA9LE, <br />CITY OF EVER£TT LOCAL SALES TAX CODE IS 3105 <br />hem certify that I have read and examined his application and knotr the <br />corTZ All provisions of laws and ordinances govuming this type of work w <br />whether specillod herein or not. the granting of a permit does not ppresume <br />violate or cancer thegpTvis;ons of any other stale or local law regulab'ng con <br />perlomranoo of cOnstiuctlon That 1 am outhorized by the owner of this prop <br />work for which applicaton Is made and I comply with the Slate Contractors t <br />296.200 WA C. <br />0.3,ana,.4-D <br />Contract Price of Work <br />Conl ±ct Porsdn (Plan Review) <br />FEE <br />I <br />to be true and <br />omplefed <br />i authortly to <br />and <br />k u, C(: - c-.Z <br />