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MAR-7-�005 08:36 FROM: <br />TG:19252578657 P.4 <br />ELECTRICAL PERMIT /�►PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - D�BIT 8 CRED:T CARDS ARE NOT ACCEPTED <br />9lo s- r�+ �� .r � <br />PROJECT ADDRESS <br />�J'.7�t+�-e-- <br />Waf �1! d <br />Electncal Contreclor <br />yz � �rr�� <br />Z �t 2 �'?Q� <br />(�,�?.�f�(�:l��l00 75�, - <br />State Llcense Number Contract Price of Work <br />,.S �- C_l �td <�l`"!�C v� c� �� P� <br />Pro�osed Use of Building Contact Person (Plan Review) <br />Oescriptiac of Work to Be Done: <br />�✓� f'%� � � <br />�Z.r� Z o 3z� <br />�a� � n 5 � u�«�� f 3� ��� R�� a�o !ro l� <br />�NwlO /JN� � /'/li..�� /.�—�ilA-ti.0 O�f4V�/� <br />, <br />� �� {S'� � �° <br />NC�TE. W�RING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERET7 LOCAL SALES TAX CODE IS 3105 <br />I hereby certdy that 1 hove read and examined this application and know the seme to Le frue ar.a <br />ccrrecL All provrsions o(laws and ordinances govermng fhis type ol work wdl be complefed <br />whefher speci(ed herein or noL The granting ol a permd does not presume fo give authonty tc <br />wolate or cancel fhe prorisions o/ any o�her sfate cr local law regulatinp constroc.�lon or fhe <br />pe�formance ol conslruction. Thaf 1 am aufhonzed by the owner of this prope�}y to pedorm the <br />�vork for whicb applicafion is made and I comply wdd fhe Sfate Contrac(o�s La�G 18.27 RCW and <br />296.200 WAC. , <br />FEE <br />