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� <br /> ELECTRICAL PERMIT APF%LIGATION '�, <br /> CITY OF EVERETf PERMIT SERVIC�S ', <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � <br /> 425-257-8810 - FAX 425-257-8857—w�riw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � V� � �� I <br /> i <br /> 1124 SE �verett Mall Wtty <br /> � <br /> PRO.!FCT ADDRESS I <br /> � <br /> [3ank Of Amcrica Same as Projcct � <br /> Owner Mail Pddress Ciry SetelLip Phone I <br /> i <br /> [3ank of America Snme as project i <br /> Tena M <br /> Cochran, Inc. 12500 Aurora l�vc. North Scattic W.4 98133-0524 206367.1900 � <br /> Electrical Contractor Mail Mdress Ciry StateLip Pnonc <br /> C�CH21'�`�8g�5 ��i?..�� �� �� <br /> � <br /> State License Number Contract Price of Work <br /> Proposed Use of Buitding Contact Person Plan Revie I <br /> CEC t� 75608? � � '�� <br /> Description of Work to Be Done: ! <br /> Install 1 du�Ie� rece tacle, Conduit fi Wire for (1) ZO mup, 120 Volt circuit breker I <br /> � <br /> � <br /> NOTE: WIRING W �'ON-DWE�LINGS IS REQUIRFD TO FEE li <br /> BE IN RACEV'JAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that I have read and examined this application and kno�v the same to be true and <br /> conect. All provisions ol/aws and or'dinances goveminq this type of work�vill be wmp/eted <br /> �vhether specdred heiein or not The granting o(a permd does not presume lo give autha'Ay to <br /> violat�a'cancel the pr'ovisrons o(any o(her state or local law regWating construction or the <br /> perlcrmance o/construchon. That I arn authorized by the o�vner ol th�s propeRy to perform ihe <br /> iverk for which applicatron is made arrd 1 compty with the State Contractws Law 18.27 RCW and <br /> 296200 �AC. � <br /> � ''��/�-_ "7 I 3 (C� C P <br /> Signeture Uale � <br /> (/ <br /> I_� <br /> �� �, -� " u. <br />� <br />