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10/26/2010 11:41 2532882156 GARNER ELECTRIC PAGE 02/02 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.everettvia.org °—a6 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />C--ioio --15G <br />i 1 .So.r%ll ftitS: �)1GPeTi i•'t A tr . u-lA[�1 <br />PROJECT ADDRESS <br />_811 `ba+.ihea4t 'r_'j ef'4 Ir Mall Louy >rVCtek{ IA 98200 �15-513-5>i7 <br />Owner • Man Address uny State/Zip Phone <br />T,eCjdaV Morni Gfo e# 87Z cvev<+� UJA 9J;2n8 4as sls�syy7 <br />Tenant Mall Address City Staleop Phone <br />(1r9 <br />r � Garnr.kec ki- I`l20 20t' 5Nff*i SulkE AkAon Will; - 98001 26"042"(05 <br />Electrical Contractor Mail Address City State/Zip Phone <br />GRRNE7REECg(p5RM IZI Jl� '1I/I00 <br />State License Number Contract Price of Work <br />91 4" d s h4 q 4r; c k }I -co( <br />Proposed Use of Buddinq�r Contact Person (Plan Review) <br />Description of Work to Be Done: f\'e'M OV'e- Q X 1S� 1 n y 'I O0er Po l-e— and ia) e h d- <br />eXiSfi% Circ_tt'(+ to (let• CaS�) Machine Loca+ion <br />L;`. a# Oy904$ <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />�-5. sfl <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this application and know the samo to be true and E <br />correct. All provisions ortaws and ordinances governing this type or work will be completed LOl 0 — t J <br />whether specified heroin or not. The granting of a permd does not maume to give authority to <br />violate or cancel the provisions of any other stato or local law regulating construction or the <br />performance of consl'iucdon. Tbat I am authorized by the owner of this properly to nerferm the <br />work for which application Is made and I comply with fire State Confrnclors Low 18.7.7 RCW and <br />296.200 WAC. <br />F� ��a 10 � 2Lo. D <br />Signature i Date <br />