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1012212014 11:17 4254133904 <br />� <br />DIAh10ND <br />� <br />ELEC�`RICAL PERMIT A,�'�LICATION <br />CITY OF EVERETT PEf��VIIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 88201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.vrg <br />APPL.iCAT�oNs ARE ACCEPTED FROM 8 AM To a PM <br />��O INl�rr�l ( �'��� ���� <br />PROJ�CT ADDR�SS <br />Owngr ( Mail Address <br />� � �� �1����� � ���o� <br />ienant <br />Mail Address <br />Clty <br />City <br />�� <br />Ststa/Zip <br />PAGE 02102 <br />Phone <br />�� y�3�a <br />Phone <br />`L��a.v�,o�d °����t�.�;rm�,`T►�- �b P��c �-?� ��a,r�- �� Q�2S <br />Electrical Contl'aCtof MsS1 Address City State/Zip Phone <br />�'J�r�l�-t Oc� ��o�- <br />State License Number � <br />�rn�-e�� <br />Propoaed Use of Building <br />� —� � o v <br />Contract Pr3ce of Work <br />'� � �..�.�,_YY� `� i, �-e.�tr- <br />Contact Person (Pkan Review) <br />Description of Woric to Be Done: �it1 S`�-� `� � �'� �C� C����ti � L C�.�( CNl <br />i� CA,��`'E-' S� �o �il Uc�� , <br />NOT�: WIRING IN NON-DWELUNC�S IS REQUIR�D TO �EE <br />BE IN RACEWAYS, MC OR AC CABLE . �L J <br />CiiY OF EVERETT �.00AL SAL�S TAX CODE IS 3105 <br />1 hereby carfify thei 1 have read and examined fhis �pplication a»d know the same to be frue and <br />correct. All provisions of laws end ordlnances govemrng this rype of work will be comp/eted ���.], I�_ ��� <br />whether speci�ed herein or not. The granting of a permrf does not presume to glve auihority fo << <br />violate or cancel the provisions of any other state or local (aw regulating construction or the <br />perfo�nanc� of constructlon. Thaf 1 am authorized by the owner af fhfs propelfy t0 perform fhe <br />wotk for which application is rrtede end 1 comply with fhe State Contracfora Lew 18.27 RCW and <br />298, 200 WAC. � <br />