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h8/10/2008 21:08 4255622866 LANDER ELECTRIC PAGc 0L/02 <br /> ELECTRICAL PERMIT APPLICATION <br /> CI7Y OF EVERETT PERMIT S�RVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 O,_�/ �O g <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org C O nO�A„ / <br /> 2S `�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TN 4 PM <br /> lCta= �,.r� � <br /> � 2 �02 —� - - ltwy • <br /> PROJECT ADDRESS ^ <br /> OWnet } �dallAddmss � City � D Sl�telZip P�u25� <br /> �zt Ci-fy P� ��d �290� �Othe�� �vel-ett t�wy . rvere�, V���t• �820k 385���5s <br /> Teni�n—� rAailAddress Clry sWte2lp �h�f� <br /> L9n�(er El��tr �c �vc. � 335`I NE. �6t� St• B�.Ilev�re , W�. � �005 56� �i77i <br /> [luclrical COMractor Moil FWdre6a City � StetefZip Phone <br /> L � NDEES � � I � C � i�5o� oa <br /> Stt�to License Number ConVact Price of Work <br /> Comm�rc�� I riSi' h i�'mqn <br /> Proposed Use of Building Contaa P,g on (Plon Review) <br /> Description of Work to 80 �one: �h S��{ I I I r I �q IYI� G r((.( ! 1` � I �O�h�p ci rcu i t <br /> —T--��— 7--- <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �6 � OO <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> !l�oroby corfily that I Irave road and oxeminad fhis applicafion end know fAe same fo bo truo and � u't�C Y��-C'-�lL <br /> correct. All prov/slons of laws ond ordinances qoveming thrs type ol work will be comp/eled <br /> whofhur speciCed he�ein o�nat. The granting ol a permd does nof resume to give nuthoiity fo <br /> Wo/ato or cancol fhe I�rovisions ol any oflior slnte orlocallew�o�uPting cons�uction oi tho <br /> performance o/constructian. Thot!om nuthodzed by fhe owner n/this property to peAomi the <br /> work for�vhich application rs made nnd I eomply with Ihx Siata Contractors Law 1t127 RCW and <br /> 29ti.200 WAC. <br /> e � <br /> � $�1 � Qg <br /> Sipnawro p��e <br /> � <br />