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Nov, 30. 2010 6. 07PM Protection One No. 4813 P. 2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8890 FAX 425-257-8857,www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> WA,* �tid �l�-Z Z <br /> PROJECT ADDRESS <br /> Owner Mail Address City Slale/Zip Phone <br /> Y4 &j► t�w �na� E X420 <br /> Tenant ft6il Address city Slate/Z� ���� <br /> UA <br /> Electrical Contractor Mall Address Clly ■ �e21p� � Phone <br /> , oP,1m)3fo-To .co <br /> State License Number Contract Price of Work <br /> Proposed Ude of Building Contact Person IlPlan Review <br /> Description of Work to Be Done; Sy <br /> 1. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CASLI=. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3905 <br /> 1 hereby certify that I 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 /> whether specified herein or not, The granting of a permit does not presume to give authority to <br /> violate Oro <br /> the provisions of any other state or local law regulating <br /> pconstruction or the <br /> work forawhich of construction. <br /> %s ade 8nd authorized <br /> comply w thythe State Cont scfor$Low 16,perform <br /> 7 ROW and <br /> 296.200 WAC. <br /> 1VISignalure Dale <br />