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From:Seatac Electric 2538724112 09/?n/2010 11:59 #533 P.002/002 <br />ELECTRICAL PERMIT APPLICATION <br />-7 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evere=D Rrg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />INOZ sF_ vgacmi-'T rxart wv�yl '�lG ( _ <br />PROJECT ADDRESS <br />"-yr, :?� E �etrct+.nsl_ sri- 51bGe it1'1 CA g526Z 2C%1 <br />4v `ZO�i <br />Owner Mail Address City StaleWp <br />Phone <br />"T>IA W1.0µ1� tA-lta4ELG-SS NDz_ S'- ww'e 1 WA" t..rrt" ef!eak <br />Tenant Mall Address City Steletwp <br />Phone <br />ar m A( 'EC-1 le, MIT Wii l <br />Electrical Contractor Mail Address City Stale/imp <br />Phone <br />��rri'G.r(ji-1��-J �hzzOr�. olJ <br />State License Number Contract Price of Work <br />Q.is-tl L 'Dk1Snyt VAA=G Gl.t_ 9_dLs <br />-4Lco.17 <br />Proposed r se of Building Contact Person (Plan ReviewF <br />Description of Work to Be Done: _�L6Q�viLG E,aesTlHc1 OLa7 IGto51L W ttli I eve ) eE6rse <br />NOTE: WIRING WIRING IN NON -DWELLINGS IS REQr RED TO FEE <br />BE IN RACEWAv S, A1C OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />i that I have <br />hereby certify read and examined this application and know the same to be true end - <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified heroin or not. The granting of a permit does not ppresume to give authority to <br />violate or cancel the provisions of any other state or local law regWating construction or the <br />performenco of construction. That I am authonzod by the owner or this property to perform the <br />--- <br />work for which application is mado and I comply with the State Contractors Low 18.27 RCW and <br />296.200 WAG. <br />--ram ',['_4I7WJ <br />Sipnatur Date <br />01 <br />3 <br />r7 5 <br />