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Dec 14 05 01:11p McGinty Eledrics 4252524897 p.3 <br /> � <br /> ELE�T�lCAL PERMlT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR 57REET, EVERETF, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.evereftwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 M�(TO 4 PM <br /> .� 3izi c.�«PA,�o /�v� ��. <br /> PROJECT ADDRESS <br /> Se�:.� Du � �� t�����D�L� YzS �d7C.� --7z� <br /> 6�me� Mar'IAddress Cfty Statelnp Phor,e <br /> Tertani MailAddreu City StaieZp Pnone <br /> ��'�C(.:�1JU l �/ F i.�CJ,�'1(... C� l /Jv (, <br /> ElecllicalCantractoi MallAddress City StalelZJp Pho�e <br /> �t ��ix.� kco� �ti �' <br /> Sfale license Number Contrd Price of Work <br /> S�� <br /> Proposed Use af Bufldng Conta�t Person (Plan Review) <br /> Descriptian of Work to Be Done: W� (z� �.( E G� S�,1"� --' �� /�M,p <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE — <br /> BE IN RP,CEWAYS, MC OF \C CABLE. <br /> s5 c.O <br /> CITY OF EVFRETT LOCAL SALES TAX CODE IS 31 DS <br /> I bereby�nily that I havo read ond examined fhis appUcaUon and know the same to be frve and <br /> cor7eCL provisions o/laws and o�dtnences govertnng this type ol work will be completed <br /> whether specificd herain ornnL The granfing o�a pem�rt does notp resume fo give aulboriry to <br /> v,'olate orcancef fhe provisrons olany ofhe�stafe erlocaf lawregWafing construcUrn or 1he <br /> poAormance of conslrvcfion. That 1 am authonzed by the o�vneroffhlsp ivperry fo poAerm L7e <br /> work for whrch appllcalion is made and 1 compfy w86 tbe SYate Confracfors Law 98.27 RCW and <br /> 296.200 WAC. <br /> /Z-/ ' D� <br /> ture Dale <br /> % �5 i a-c,��, <br />