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, <br /> OCT-10-2000 08:45R FF.OM:FROFESSIOIJRL ELECTRI 360 435 1182 T0:4252576657 P.1 <br /> r <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 1,�-�0 -0 6 <br /> 3200 CEDAR STREET, EVERE�I'T, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org C D 6 )b �OS� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> , � <br /> � CiS 'caJ- Cy,,:�.r.� <br /> . <br /> PROJECT ADDRESS <br /> � � <br /> /^ � � / /� � C <br /> ��7.,�, d ( -,�S/r.c f..� fn�3 �J �vL' r/f �l� J.� V� <br /> Ownor � Ma7 Address Ciry Stala2ip Phone <br /> I <br /> i I TOnant Mall Adtlross Clty Stato/Zlp Phone <br /> ; P��f.0 ,o. �� / �/�. ,�,� �'��� �i s ����.���.--, �.�� ���.�� 3 <br /> Electrlcal Conlraclor Mall Addrnss Ciry StateZp Phono <br /> ' .��111'/s v 1"c� '� 7 �� <br /> Stalo licanso Numbor Contract Prica of Work <br /> I �j <br /> i l� PJ• c�t.ocl <br /> � — <br /> ; Proposed Uso of Bullding Contact Person (Plan Roviow) <br /> � DoscrlpUon of Work to �o Dono: [A��/'� •w �nY' h ! w /YJ�C�C�, C�� ��(J lj�.,_. �L-� <br /> � i <br /> i <br /> I — <br /> � <br /> � <br /> NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO FE[ <br /> � BE IN RACEWAYS, MC OR AC CABLE. <br /> � <br /> � CITY OF EVERETT LOCAL SALES TNC CODE IS 3105 <br /> � I horoby ceMi/y fhat 1 hovo road end oxaminod Ods applicaflon nnd know tho some fo be We and <br /> � caracf. All provlsions o/laws and ordlnancos govorniag thls typo o(work�ti�ill be comploted <br /> �vhofhor spocifiod horoin or noL The gronting o!a ponnif doos nct presume to give aufhoriry to <br /> violato or cencel fhe provlsians of eny other sfofe orlocal low raguleling construcflon or Ihe <br /> porlomionco o/cons7rucfion, Thaf/nm au0ionzed by fho owner olthis proporty to perform(he <br /> work for whlch applicaflon is made and!comply wilh!he Sfate Contracfors law 18.27 RCW end <br /> 29G.200 WAC. <br /> IC- c./'�i,c� ��,-- 1.w. �'U-/U -U6 �� J\ <br /> ISipnaNre p��a (� . "" <br /> � - r /1�l� <br /> L% U' <br /> � <br />