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From: <br />03/��/2013 "3:10 n757 P.002l002 <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 2�'�O --1 3 <br />J <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C r 30 3`-��S <br />i y �z s .� �„ � ��..� r���.�� ��a� <br />PROJECT ADDRESS <br />Owne� <br />i <br />�,�r`� <br />Tenant <br />�N� <br />Electrical <br />� �ak F ���t o ��k c <br />State License Number <br />��pre <br />Proposed Use of Building <br />Mail Address <br />Mail <br />61ai1 Atldress <br />Square Foolaga (If residenlial new construction, remodel or addilion) <br />Description of Work to Be Done: <br />r � <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 3105 <br />City <br />Clly <br />Stale/7ip rnone <br />State2lp <br />State/Zip <br />�G�Doo.00 <br />Conlract Price of Work <br />Contact Porson (Plan Review) <br />I hereby certi/y lhat I have �ead and examined this applica(ion and know fhe sama fo be frue and <br />conect. All provisions ollaws and ordinancos governing fhis type o/work wi!16e canpleted <br />whefher spec�fied herein or not Tho granling o7 a permif does nof presume fo give authonty fo <br />violafe or cance/ fhe provi;ions o/ any other sfafo or foca/ law rec�ulating construction or !he <br />peflormanco ol construcliun. That I am oufhorizod 6y the owner oI th�s property (o perlorm the <br />wo�k /or which applicafion is mado and I comply wi(h the Sfate Confraclors Law 18.27 RCW and <br />2J6.200 WAC. <br />i <br />FEE <br />Nnona <br />/S_ <br />Phone <br />L ��C�j. ���\. <br />