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Dec 14 05 01:tOp McGinty Eledric 4252524997 P 1 <br /> .r <br /> ELECTRICAL PERMIT APP�ICATION <br /> CITY OF EVERETT �ERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA si8201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettvra.org <br /> APPLICATIONS ARE ACCEPTED FROM B A1UI TO 4 PM <br /> ;�,� �: 1 zJ �DM BA►2v �U� �f� <br /> PROJECT ADDRESS i <br /> Cou+� D v t �� 13 u t 4D�-S YZ-S �-T0 �72 I <br /> Ovrner MailAddmss Ciry SWte2(p Pnono <br /> � Tenant MailAdtlress City Sate2ip Plwna <br /> ,�Ct�i,�t/ F—c:,�c�W C. �o lu L <br /> ElCclrical ConVacior �da0 Address Gh• S�telLp Phone <br /> MC.I�l� LLOb �I.I �' <br /> State License M1um6er Centr�IX Pdce of Work <br /> S�� <br /> Prnposed Usa cf Building Contact Person (Plan Revlew) <br /> Description of Work to Be Done: _ Ly. 11 2� ��� S�� ��Q �M,� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E '� <br /> BE IN RACEWAYS, MC OR AC CABLE. �� j <br /> S`� — � <br /> C�TY OF EVEREIT LOCAL SAIFS TAX CODE lS 3105 <br /> !hereby cerliry fhat I have read and examrned this npplication and know fhe same to be troe and <br /> correct Af!provisions oflaws and ordinances goveming this type of work will be completed <br /> whelherspeci��d herein or not. Tho gronting of a permrt dces not Presume!o give aufhw/h�fo <br /> vio;afe or cancel fhe provisions of any ofher stafe or foca7law regu1ehng censtructron or the � <br /> pedom�ance o/cons7rvcl�on. Thaf I�m authodzed by fhe avrrer o/thrs p�operiy fo perfam Ih,a <br /> work(or which application is made and 1 comply�tiv!h U�e Sfafe Contractors la�v 18.27 RCV/ard <br /> 296.2Q0 WAC. <br /> �a- �y - b� � c��a-o7`-� <br /> ig tum Oate <br /> i <br /> I <br />