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06/05/2008 12:40 FAX 3000uJA4J5 GARVIN I�.ti7' ItiC �001/00! <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �,, s-o �' <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � p �QtS-03� <br /> 425-257-8610 - FAX 425-26T-8857-www.everettwa.org <br /> APPUCATIONS ARE ACCEPT6D FROM 8 AM TO 4 PM <br /> ._.f1Q� ' D.,r7`�„f .��,.� �a'`dj" <br /> PROJECTADORESS � <br /> • o?O(-�S�J= <br /> �,lC�._i.ld1�� �e �a 5 /�i.•,/ / �jc.��.,� y� <br /> i,,,.., �� , �,• . <br /> Ownor Molt Addresa ' Clry Smta2ip Phons <br /> Tenant Mali Add�ess Clry 8falo/Zip Phaw <br /> � . ����� <br /> .,r.,, .�, �� G ,��u�L �X��n _ <br /> Eleclrlcal Contractor II Addrass Ciry Slala/Zlp Phon� <br /> �/�.� l/s�Z99/C'�l ��Slc'/' - <br /> §tate Llcenee Number Conlract Prlce of Work <br /> l��1� 1 /�'t/� ( ./lr.ue�r..i. <br /> Prvposed Uce o Bulidlnp Contacl Poroon (Plan Roviow) <br /> OoacrlpGon ol Work to[3a Dono: , <br /> NOTE: WIRINO IN NON-DWELLINGS IS RE�UIRED TO fEE <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALEB TM CODE IS 3105 � 1 ,�, �,�,� <br /> I haro6y cerfBy thaf I have reoAurtd o��emfnad fhls eppllca0on end know the aemo to bg We and �� ��° � <br /> correcf. All pr4vlslons ollews and ortiinencea povomfnv fhls typo o/work wlll be comp/ofed <br /> whofher speclfied hereln or nof. The gronOnp ol e pormtt does not presume to phre euthatty fo <br /> vlolato or cance/fhe provlslons ol eny other sfoto or locol law ropuleflnp consUvctlon or tho <br /> poAamance ol constiucflon. That/anr aufhor/zod by the owner ol thls Property to perform tha <br /> worlr for whlch eppllcotlon Is mado end I compty�v�fh tho SYefe Contrenors Law /8.27 RCW end <br /> P96.100 WAC. <br /> � <br /> O <br /> s n, <br />