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05/12/2009 03:11 4253698437 DAVID PAGE 02/02 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 fi 0 905--0(a <br />425-257-8810 - FAX 425-257-8857 - www.evereltwa.org S -I(( -Oq <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�lJb E �ioyrl-� LVQ+�_�-�• U-11- <br />rmuJECTADDRESS _T <br />Owner <br />Tenant <br />Electrical Contractor <br />ec� <br />Starr. License Number <br />o + InI <br />Proposod Use of pwldin0 <br />Mail Address <br />Mail Address <br />Mail Address <br />L� <br />City <br />City <br />1 5-4 <br />City <br />tD�03 <br />Stale/liP Phone <br />Stale2lp Phone <br />11 <br />46017 q25-657-91 <br />statelnp Phone <br />a <br />$ •11 oa 10-& <br />ConlraCt Price Of Work <br />Contact Person (Plan Review) <br />CaUdlation of Work to De Done: e p�Qf C Se (%AC1, f1•t n QL ) Do <br />NOTE. WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACE WAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined this apOwtion and know the same to be aoe and <br />wh"Uh r All provsions Of laws and ordinances puvem,ng this type of wore will be cam let - <br />poc�lled hamin Drool The granting ofa permitdoes rrof ppresume to give author y to [ �I % � J (J �•�"�/ <br />vlclato or cancel the provisions of any other state or local law reguating construction or the <br />v rk for whi of constructiapplication is Thaf I am authorized by the owner of this roperty to perform the <br />wok for which oppNcafrow rs made and I comply with the State Contractors Law 18.27 RCW and <br />9G.20o WAC, <br />