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( <br /> ELECTRICAL PERMIT APPLICATIOM <br /> CITY OF EVERETT PERMIT SERVICES S `�o —o (� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �'�6� S-0 fj�j <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2814 Colby Ave <br /> PROJECT ADDRESS <br /> 425 <br /> Full Gospel Mission Church 2814 Colby Ave Everett WA 344-5617 <br /> Owner Mail Address City SlateRip Phone <br /> Tenant Mail Address City Slale2ip Phone <br /> 425 <br /> Evergreen Security, Inc. 8115 Broadway, Ste101 Everett WA 3483850 <br /> ElechicalContractor MallAddress Ciry State2ip Phone <br /> EVERGSI112L2 $1,960.00 <br /> State License Number Conhact Pnce of Work <br /> Commercial Rick Dampier <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion of Work to Be Done: LOW VO�t8J8 818fR1 <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> $35.00 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily fhat 1 havo read and exammed fhis applicalion and know Ihe same fo be truo and <br /> correcf. All p�ovisions o(laws anAordinoncos 9overnmg fhis typo ol work will bo,complofed <br /> whethor spoafied herein or noL The granfing of a penmt does nof presumo fo give au(honty fo <br /> molafe or caocel tho pmv�sions o/any ofhor sfafo or local la�v rogula(rng constructron or fhe <br /> poAormance ol conslruc6on. Thaf I am aufhonzed by the o�vner oI fhis propetly fo perform Iho <br /> work lor which app6cafion is mado and I comply with fhe Sfafe Contractors Law f8.27 RCN and <br /> 296.200 WAC. <br /> � � �if��-nNitl f 5/4/06 <br /> Signeture � Date <br /> ����- CrC� <br />