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Nov 30 05 02:51p �4cGinty EI�3ctric <br />4252524897 p.3 <br />ELECT�cICAL PERMIT API�LICATiON <br />CITY OF tVERETT PERMIT SERVICES <br />3200 CED,4R STREET, EVERETT, WA 98201 <br />425-257-8810 - F.4X425-257-8857-wvnv.everettwa.org <br />APPLICATIOtJS ARE ACCEFTF.� FROM B AM TO 4 PM <br />�0 13 i.1/ IN�'��rr�Y /}U� �o,—�y <br />PROJECT ADDRESS <br />;2Lc.ic.:�^,�r�C�_ C��s;�u�� ��N .�ob �►q-7�i�3 <br />Ovmer htail Address C�ty SutelLlp Phona <br />Tenanl <br />Mail AQ�s <br />City <br />�'alr/Zip Phone <br />N1LLitJiY i=i�Cf�tl. C� fIJ� yzs �5z-ygq� <br />Electrical ConVaCtor Mail Address Cily S�ateZp Pncne <br />�7�%�,�`����� r.i� <br />State License Numher <br />S1-� <br />Proposed Uso ot Buiiding <br />Contract Pdce of Work <br />Coniact Person (Plan Rev!eai) <br />oescription orwark to Be Done: �.%I ?2f N r W ST—T� Zc��` Fj � <br />NOTE: WIRING IN NOtJ-DWELLINGS IS REQUIRED TO <br />BE IN RACEVVAYS, MC OR AC CABLE. <br />GITY OF EVERETT LOCAL SA'..ES TpJC COOE IS 3'105 <br />1 bercby certily that I bave read <br />carecf. Afl provlsicn.s o(laws a <br />whefher specified herein cr nat. <br />vidate or�ancel the provisions <br />perfamancea/conshucNon. T, <br />work !or w: rich application is ma <br />296.200 WAC. <br />this applica6on and knoov the same to be Vue end <br />goveming this fype o1 work will be cnmpleterl <br />st a pemut dces wf presume to gn�e author'dy to <br />3te orlocallaw regulaUng construction or fhe <br />ized 6y fhe ownerof thisn �operty to perlorm ha <br />y rntli fhe State Contractors Law 18.Z RCW anc <br />��� �_��'� //- .� C - C.� <br />� natu �� � ,� Date <br />�� <br />FEE <br />�ss �� <br />