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SEP-06-2011 14:48 From:LNP <br />8886159679 <br />To:14252578857 Paoe:V2 <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 I O t0 A <br />-/OI U Evctct"' , ua,r 98303 <br />PROJECT AODMESS <br />Owner Mail Address City Staterzip Phone <br />Tenant <br />Electrical Contractor <br />Address <br />I $kAix5. d <br />Mail Address <br />M � � ►Zo�L g � � �'� <br />State License Number <br />U-t ti ce J 3") 1 ;any <br />Proposed Use of Building <br />Description of Work to Be Done: <br />7 <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />City <br />Statelzip <br />Phone <br />city State/Zip Phone <br />995.cc- <br />Contract Price of Work <br />Contact Person (Plan Review) <br />m <br />I 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 goveming [ Is type of work will be completed <br />whether specified herein or not. The granting ofa permit does notpresume to give authority to <br />violate or cancel the pprevisions or any other state orlocal law regulating construction or the <br />performanc ofconstnrction. That I am authorized by the owner of this roperly to perform the <br />work fpppr w ch applicati n rs made and I comply with the State Contractors Law 18.27 RCW and <br />296.2g0 C. y <br />e Date <br />E <br />77 7 <br />