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03'IQ,'2009 THU 15: 13 rAa 4253551610 dutton canon <br />©001/001 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES 9 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425.257-8857 - www.everettvva.org r✓ 0944 3 - 09 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />2-0 " 8 pTH 5 U-) irV L-41C-Sj_ <br />PROJECT ADDRESS <br />yZS— <br />S1�`1�1 Lp Q 6111 L-2 (CA '720 -fN5" 5i- 5 1-) F_' V62 L --1 r i,J R <br />Cwncr s Mail Address City State/Zip Phone <br />Tenant Mail Address City Stab/Zip Phone <br />12Y•07 Wr�Ktt.T-i-a <br />DJTTolJ i5L6C1-_PIC SPCt,0u'!tLa . SviTt A17o Lyr(it/woov kJ19 FROj-7 <br />Electrical Contractor Moll Address PCity State/Zi l/LS Ph n 7— <br />w-TTo eC 13 -% P 3 �$/000,�a -iboo <br />Slate License Number Contract Price of Work <br />I^'\ A N or A C--1 () 6L I N K _Dr4-u 6 C-, If,) Z S 77L A <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: t?(L0 U 1 O t �W ti t 1 �oR 4• u D I IU c <br />l <br />A-W 0 is r� C n�lw nJ L l f lit t,,t_ --C_O IE Y_14Aa S`T r-. 04 <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 1 heroby certify that I have read and examined this application and know the same to be true and �G O j Q "n <br />I <br />correct. All provisions of laws and ordinances govornlnA this type of work will be completed <br />whether specified herein or not. The granting of a perm7t doer yot presume to give authority to <br />violate or cancel the provislons Jerry otter state or local rogu efing construction or the <br />pork rmance of cons rucllon. That I am authorized by the owner of this property to perform ilia <br />work for which application Is made and I comply with the State Contractors Lew 18.27 RCW and <br />296.200 WAC. <br />nal re ale <br />