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11/04/2008 02:51 4255622866 LANDER ELECTRIC PAGE 02/�2 <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9820'I <br />425•257-8810 - FAX 425-257-8857 — wvuw,everettwa.org <br />APPI.ICA710NS ARE ACCEPTED fROM 8 AM TO 4 PM <br />y-$2o s. 2h`�- �ve. <br />PROJECTADDRESS <br />_Pqt Iteh�ry �tg2o s. 2�,� st. E <br />Ownpf A10i1 AddrHs9 <br />�/A <br />Tenant MaitAddrcas <br />Clty <br />ciry <br />��n��r rl��tr�c Sv�, 1�359 NE, ib�� s <br />Elrctrieal Conlroaor Mnil nddrese City <br />��N��ES��i6c <br />Stote Licensa Number <br />� <br />S�h le FQm�l4 I��Si eht�ql <br />Propasa Use of Buiiding <br />Description o( Wurk to Be Dona: <br />i, <br />NOTE: WIRING IN NON•DW[LLINGS IS R[QUIRED TO <br />�6 IN RACEWAYS, MC OR AC CA�LE. <br />CI7Y OF EVERGTT LOCAL SALES TAX CODE IS J105 <br />! here6y cortity thal l hAve read and exnrnineAfhis vpplic: <br />cenoct. All Urovisrons oI laws and ordinences goveming � <br />whr.thorspecitocf hemin ornot THe grnntrng ol a pannif <br />viola(e or r.ancel thn Piovisions ol ony othor stefe orlucal <br />porfonnonco a! cons�rucfion. Thaf I am aufhonzatl hy the <br />�rark lor which opplication is made ty�d ! romply wrfh tho : <br />29G200 WAC. � i ' <br />�ow tho <br />work w <br />Gvv� ' � �,� I o 8 <br />tt3 VvA. �B�a3 30 <br />Slate/Zip <br />SIale2ip <br />ro <br />Phone <br />Phone <br />5 56 2�1i1► <br />� Stele2lp Phone <br />616.00 <br />Contrad PncC of Work <br />l�rrStYr� P�ftmqn <br />Con�ac� P an (Pian Revlew) <br />3 to bo hue and <br />cornplolod <br />�e aufhonfy fo <br />'i0n or (he <br />P.xiftihq ServiGL' <br />FEE <br />���.6'� <br />���:\ l -v1`I <br />