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03/08/2011 10:05 �AX 4'LS 377 1976 REX ELGCTRIC �001 <br /> � � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 982U1 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � —�`// <br /> ' �// 0 3--��� <br /> /�/�/ v.v PPin Gr/a.� S'��� -rf�8 <br /> PROJECT ADDRESS <br /> �er Mall AOdrets Clty State2lp Phone <br /> V�l���� /�n� �,�.��o�,.� �.�.,,� �q��y <br /> TOnent MallAddress City SIa1B2ip Phone <br /> EledricalConVacto� MailAddress CNy StatYllp Phone <br /> �,���.Es9��,�v �3, � 6� - zz <br /> State License Number Co t ct Price of Work <br /> �Ei C'����, <br /> Proposed Use of Building Contact Person (Pian Raview) <br /> Description of Work to Be Done: �I Z �D � /�Qljl�y�f ��qr ,� <br /> � <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 3106 <br /> l hereby certify thaf I have read and examined this app!lcetion end know fhe same fo be lrue and <br /> corroct. All provislons ollaws and ordinances govemmg this rype ol work will bo comp/eted <br /> whetherspec�od heroin ornoL The grant/ng o(a permR does not rssumo to givo outhonry to <br /> violale or canco!the p�ovislons oI eny other slato or local law repuPting consfr�ction pr the <br /> performance o1 consrruction. Thef l am authorized by tho owner of th/s property to perform the <br /> woik lor which applicnfion is r.�sdo and!rnmply with the Stafe ContraGurs Law i8.27 RCW and <br /> 296.200 WAC. <br /> --y��^�' �.�,c_ 3��Za�i - (�g <br /> S p�aturo a� �h <br /> Id� <br /> 1 <br />