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�- t <br /> ELECTRICAL PERIb1iT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.evereriwa.org c v �� �� <br /> J <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM CI LaS "O e2� <br /> 1t12� EVEftGRF.EN WA`I . SU1TE C <br /> PROJECT ADDRESS <br /> �VER6REEN CEMER 11108 EVERGREEN WA`I EUE� u1A q42�4 <br /> Owner Mail Address �nY S�telZ'P P�° <br /> — SHOP �' DROP 11120 EVERG�EEN WAY EVER'f.[� �lA °18Z�4� <br /> Tenant MailAddresa �ih 5�e21P P� <br /> PKOTECTIDN �COMMUNlCR1l0�1S lNC 1943o AOZN AVE UJ. LYW�]�JODD4JA 4757]9�909q <br /> Electrical Contractor Mail P,ddresa City Stele/Zip Phwk <br /> PROTE C I165L6 _ <br /> �I (e0o� <br /> State License Number Contract Price of WoAc <br /> CIEFR`1L RICNARDS <br /> Proposed Use of Building Contact Person (Plen Review) <br /> oe5o�ptio�ot wo�to se oo�e: COl�lNEG1 N�O� S YS1�M lU AYAIL ABLE �bWE <br /> lN EKL3I1N6 FACP `fie in � re alarm .�e � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. � ^7 �� <br /> � <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS�106 <br /> 1 hereby certily thaf 1 have read and examined fhis application and know fhe same fo be true end � I ZO c� O�O <br /> correct. All provisions o/laws and ordinances goveming this type of work will be crompleted �. / <br /> whefherspec�ed herein ornot. The g�anfing o/a permrt does not presume fo give authority to <br /> violafe or cancel the provisions of any other sfate or local law ragulafinp construction or the <br /> per/ormance ol construcfion. That 1 am aufhonzed by fhe owner o/Mis properfy to peAorm fhe <br /> work/or which application is made and 1 comply wifh the Sfafe Confracfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ����, _ , � _ 4-�7�1'7�- <br /> Signatu Dete <br />