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12/28/2012 12:18 2538454652 <br />R C TRUE LINE CORP <br />PAGE 02/02 <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—wvvvv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />Mae Address City Stele/Zip Phxre <br />Owner > � <br />Tenant Mail Address City State/Zip Phonr, <br />St� r Phone <br />Eiactrical Contractor Mau~ ress City <br />State License Number Contract Price of Work <br />?� <br />Proposed Use of Building Contac/t <br />Person splan Review) <br />G ,t1l pk — <br />�30o S3!r'377-7111 <br />Square Footage (It residential nLr construction, remodel or addition) <br />Description of Work to Be Done: <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 310S tU <br />I hereby certify that I have read and examined this application and know the same to be fire and <br />corroc Ali provisions offam and ordinances goveming rs type orwork will be completed <br />whether specified herein or not. the granting of a pemuf lotppresume to give authority to a p� <br />violataorcancelthe provisionsorany otherstet�briocellaw ulating construction or the <br />performan nstruct on. That la thod by the own of this property to perform the <br />work for lid) a ligation is mad nd 1 coin' y wi the 8ta Contractors Law 18.27 RCW and <br />236.200 C. <br />Date <br />