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Nov 30 05 02:50p McGiniy Eleclric <br />�!7JGvL^iE`�/ �,� <br />EL.EGTRIC�L PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, FVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-d857 —www.everettwa.org <br />APPLICATIOlJS ARE ACCEPTED FROM 8 AM TO 4 PM <br />JCrl"/ <br />z�-2-�7 — 8� D a2 �/ �01 �� S <br />PROJECT ADDRESS <br />—%34ca��4�r»� C��s � �u�� � ��/ .2�b Iq-Ty13 <br />Owner MailAddress � (9ry State/Lp Phona <br />Tenant <br />�vtail AtltlBSs <br />Ciry <br />Stale!Zip phore <br />�1�Git.fTY ��--GC)�11. C1 I�1Z `�zs zsz-y$q-, <br />Eledrical Contractor IAa1 AdCress r.�r� StaleZp Phcne <br />,�TC(-,1K.�,E�0�3 N� <br />Stale License Nurnber <br />Proposed l�se u� Bvildiny <br />Contract Price of Woric <br />Contact Person (Plan Review) <br />Descriptlon of Work ta Be Done: 1� 1A � (o �� 1L1 tn' �V✓li' rf,�%�c-�'� % i..� <br />NnTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />1 he�eb certi/y that 1 heva read and examined fhis app/ication and know the same to be fn.�e anc <br />correcr All pmvisinns o(lews and ofdinances governing lhis fype o/w+orlr will be complefed <br />whefher spe_ified hereln or noL The g2nGng o1 a permR doos rrotp resume !o give aulhor�ty to <br />viclafe or cance! t.�e provislons of ony clher state a local laiv regulating constructlon or fho <br />pedormance of u+astrucGon. That I am authonzed hy the avne� c� fitis properfy So pe�forrr tire <br />workfor which app�icalia�ls made and! comply wlth fhe �;ate Cent�acfors Law 18.27 RCI1�and <br />296.200 VVAC. <br />FEE <br />3S '° <br />n <br />r� � <br />���_�>> <br />