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06/05/Z008 11:40 1��15 J600u�841u CARPIN li\T INC �002/002 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERIIAIT SERVICES b _ s-og <br /> 3200 CEDAR�STREET, EVEREI7, WA 98201 <br /> 425-257-8810 - FAX 425•257-8857—www.everettwa.org �vg0 6 �yv <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> � <br /> �/ 3� ���.� �'�..,� ��`/ <br /> PROJECT ADDRESS <br /> . ,�Gd� S��"ao� <br /> � - � �,��,. f,,.�.�� �i,f� 5�/�} �Qi.�.�.../ _�,.�� `1'.�../ <br /> OWnor Mall Address Clty Skte2lp Pf�ono <br /> Tenanl MellAddiess Clry 3te�aZp Phaa <br /> e /JA J/ (il.+��./iilae A�.1rr �� �Ci✓ ��,Lj� /�/�7J�/J �1GW%YL�f <br /> Eleclrical Contractot Mei A0 nsa Gty Ste�eZP Phona <br /> �,Qll��,�99ir�i ���s`" <br /> �te Uconeo Number Contrect Price of Work <br /> �SF� <br /> Propoeod Uee ot Buildinp Contect Penon (Plen Ravlow) <br /> Doecripllon of Work to Da Dono: <br /> NOTE: WIRING IN NON-DWELLINGS IS R[QUIR[D TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALBS TAX CODE IS 3105 <br /> � . C KI C� <br /> I horoby corfiry tliaf I hevo road end exeminod fh/s eppficotlon and Imow fho aeme to ba We end �_�f. � � <br /> corroc(. All p Ns/ons ol lowa end ordlnen a povamin N Is type of work wlll be comp/efod <br /> whefher aped�ed hereln a nof. Tho pranf�p ol a porm9t�oes nof prosume fo plve aufhaity to <br /> vlolefe or cancel the proNslons ol eny o(her state or Ixel lew ropulaflnp constructlon or the <br /> perlormance o/consWcOon. rhaf I am euthorizod 6y fho ownerof fhls proporty fo peAortn fho <br /> woAc for whlch opplfca0on Is made and I comply wffh fhe Sfefe Confracf�rs Law /8.27 RCW and <br /> 298.200 WAC. <br /> � , <br /> 1O <br /> pM41fB Oh� <br />