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Apr, 14. 2010 8:53AM ALLSTATE ELECTRIC No.093i P. 2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8010 - FAX 425-257-8857 — vwvw.everettwo.org /' <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM `) Ll —/,D <br />C- l001/-0 56 <br />PROJECT ADDRESS /� JI l \.0 A— <br />Owner Mail Address City Statelzip Phone <br />o{�S <br />os �J �`�G deo_vl a -,I S rxo -A- b �s3 - K8b <br />Tenant Mail Address city Statelzip Phone <br />dlSin_b Re_eti; c. —Axr, lMz- blffiA-ve- 1J-49 '1zsSos��s3 <br />Electrical Contractor Mail Address 1 y �.^ State/Zip Phone <br />A- L i s I L % zoom,. 6D <br />State License Number 'r Contract Price of Work <br />.°IOC Slz�_ <br />Prop s .d Use of Ruildi I '/ f Contact Person (Plan Review) <br />Description of Work to De Done: �c U � S I ULD <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 I have read and examined this application and know the some to be true and I���.' — ✓LL' <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 resume to give authonty to <br />violate or cancel the previsions of any ofher state or local law regulating construction or the <br />pedommance of construction. That I anm authorized by the owner of this property to perform the <br />work for wt h. application is made and I comply with the State Contractors Law 1&27 RCW and <br />296.200 A ' <br />L- '-Y/Ldl D <br />Signarure ate <br />