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06/27/2006 22:06 4255622866 <br />LANDER ELECTRIC PAGE 02/02 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C --)AR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwn.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />621 Ito t Ayb- <br />PROJECT ADDRES ('t25 <br />C-Tl- of I�o55mah jib/)i tto�t Ave. Everett, WR. 12 O3 339-1207 <br />Owner Masi Address clry 5talc/ZIP Phone <br />NIA <br />Tenant Mall Addres. City StateOp CP425-, <br />Lander Ele,�triG 1335� NC. 16t1151". ge112vue,1N�98005 562-I��► <br />Electrical Contractor Nall Address City 5taINZiP Phone <br />LAW DE E> 11 I6C, 2100. 00 <br />State Llcense Number Contract Price of We' <br />Il I Ie f aril ( r\. 1' 51�, 11f-mgh <br />Proposed Se of Building Contact Pers (Plan Review) <br />Description of Work to Be Dona: h <br />III I-50uN gr(uioutfit)) <br />2- 20AMP cil CL4I1 S ( kot tLt b Shoe Oi-1 l&t <br />NOTE WIRING IN NON -DWELLINGS IS REQUIRED TO FEE I <br />BE IN RACEWAYS, MC OR AC CABLE 15 - 00 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />1 hereby certify that I have road and examined this application and know the some to be true and <br />Come <br />All provlslons of laws and ordinances govoming this type of work will be, completed <br />whother spea6od horoin or riot. The granting of a permit does not presume to give authority to <br />violate or cancel the previsions of any other state or local law rogu/ating constriction or the <br />performanco of construction. That I am aulhorizod by ttmo owner of this property to perform the <br />work forvhich application Is made and 1 comply with the State Contractors taw 18.27 RCW and <br />290.200 WAC. <br />5ipnaturc Date <br />I <br />