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From: 01I. 1"g12012 08:24 #865 P.002I002 <br />( <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 />�i� S W Ev cx•e�'r Ma\ 1 vJ 0.�I <br />PROJECT ADDRESS <br />C�S3�g`I2 2r}ro <br />S = Awy) s�o Svv MaA\ V` 4U -E-A. c_AV DNA <br />Owner Mall Address City I Slate/Zlp Phone <br />S lean "Tra n 53o SW -Uyere�k k OJ\ W a �:EVeYeA � 2 __zA co <br />Tenant Mail Address City State/Zip Phone <br />a5a •�1a <br />Feu "' e�}rie �trl lag,r� Ave os-D1\o Y� k k1 gK8a a46o <br />Electrical Contractor Mall Address City State/Zip Phone <br />State License License Number Contract Price of Work <br />M _ffiren geb6 \ Ye. <br />Proposed Use of Building Contact Person (Plan `Review) <br />Description of Work to Be Done: <br />���\' \ r •Po o'�1z�-k �•eS k� UU� t'�.C-e�� , C�✓ld .` oWex—�da, <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 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��- <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the previsions of any other state or local law regulating construction or the <br />performance of construction. That 1 am authorized by the owner of this property to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. Q <br />Slgr, t e ate <br />