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To: Permit-'s—t--- Pag®2 of 2 20'13-'10-03 07:'164257409777 From: Jeffery E<>1— Preferred EO—Lorne VVm111tnc <br /> 0 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> -��ndustry Drive Everett WA 98203 <br /> PROJECT ADDRESS <br /> ATP Western Same 425.508.1631 <br /> Owner Mail Address City State/Zip Phone <br /> Same <br /> Tenant Mail Address City State/Zip Phone <br /> Preferred Electric P.O. Box 77120 Seattle WA 98177 425.583.9662 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> PREFEE1925PL $89,435.00 <br /> State License Number Contract Price of Work <br /> Electrical Assembly & Distribution Lorne Wallitner <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: Revise distribution, provide & install power outlets & provide <br /> & install lighting fixtures & branch wiring. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. 12-7q. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I 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 v <br /> whether 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 regulating construction or the <br /> performance of construction. That 1 am authorized by the owner of this roperty to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> 10 / 3 / 31 <br /> Signature Date <br />