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I FEB-08-06 01:54PiA FPCt(-DW Close Comaanv 20E-242-2299 T-658 P.001/001 F-196 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 --0 6 <br /> 425-257-8810 - FAX 425-257-8857-www.everettv,ra.org C D boa--at/3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3000 Roc:xE i=et--1--a A. <br /> PROJECT ADDRESS C <br /> JNaMor�►t�3t-sa�N 9 Lj2.0 <br /> 300e, 42 rx.cm Ave R VD 40 4 .ee t I. <br /> Cv:ner <br /> Mail Address Gty StateiZip Phcre <br /> JTDP-AL0t� `fLot%) _vtL_Dt1-3 -- <br /> Tenant Mad Address City s'tate n <br /> p e} <br /> a1ICFhare <br /> W C)-t) C• 4O4 ` I 13ks-1. ‘ L. liOADf_ ij 0° <br /> City Stato2rp ,),LIS) Phone <br /> Electrical Contractor Na,nddress L�I-y�,r,� <br /> 1,) CLCL L z I Sd'6 <br /> State License Number C.. itract Price of Work <br /> Proposed Use of Building Contact Persr (Plan Review) <br /> 4" h <br /> T <br /> W I zzN -T• 1 _ moo�.g t--� p.a o �' ,Vr�E-ii...)' <br /> Description of Work to Be Done: <br /> Q <br /> �JLM t t..A52.. -1b PFeN,\1 e�Jor]_12' - <br /> Th' NO1 E WIRING IN NON-DWELLINGS IS REQUIRED TO I `F�F <br /> 3E IN RALEWAYS,MC OR AC CABLE. <br /> L.. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I I hereby certify that I hak a read and examined this application and know the same to oe true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does net resume to give authority to <br /> violate or cancel the p rsions of any other state ort . .• u a . constn.chon or the <br /> performance of construon That!am autherr-- y the owner of this rope to perform the <br /> work for which appticatiQh is made end I c•- with th• tate Contract.rs taw 18.27 RCW and <br /> 296.200 VBAC. <br /> • /../i� it..2l (Cv <br /> air Cate rgneture ' !f <br /> ad ( 6)21 <br />