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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — mAv everettwat.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />1515 112th Street SW <br />PROJECT ADDRESS <br />JLZIll K@>t0.11 urvsa La.�. - - StatelZip Phone <br />Owner Mail Address City <br />matso Midi i atemel - - - State/Zip Phone <br />Tenant Mail Address City <br />(425)917-2109 <br />Insignia Sian Inc PO BOX 2849 Renton ��A State/Zip Phone <br />Electrical Contractor M'.: Address <br />City <br />t7 SDQ <br />ttwleut-elna� IS <br />Contract Price of Work <br />State License Number <br />Texaco Cgs StAtion Steven Thomson Person (Plan Review) <br />Proposed Use of Building <br />Description of Work to Be Done: �{j i7 anew free�+Anding shin (3) nmm_c ; SIgns, �l — <br />NOTE: B WIRING <br />N NON -DWELLINGS REQUIRED TO <br />RACEWAYS MCOR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whefhor specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulstingpconstmchun or the <br />work for which <br />of construction. s made and 1 authorized <br />omply w'thythe State Contraic(orsspLawy 18 perform RC W and <br />work for which application <br />296,200 W4C. <br />& Contractor) 11/a9/11 <br />FEE <br />