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EL�CTRICAL R�RMIT APPLICAT�������� <br />CITY OF EVERETT PERMIT SERVICES <br />425-2570 810 DAFAX 425257- 857E www.everettwa.orc� ��i ') � 2009 <br />.............................. <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM CITY OF EVER� <br />i. <br />� � � � �\ � ��`3 -O� <br />1u(D SC �v-�c. A v�-� Op r`-0(7 <br />PROJECT ADDRESS � /� l <br />S� � �A 3c�-�k3-���i3 <br />Ownef MailAddress City StatrlLip Phone <br />Tenanf <br />Eledrical Conlrador <br />Mail <br />Mail Address <br />i�L..%:- �� L.T ii 1 S C1 �.� <br />State License Number <br />�� c�`� (� LSM`LC. � <br />Proposed Use of 8uilding <br />Description of NMrk to Be Done: <br />S �a r'r� ���. <br />NOTE: WIRING IN NON-OWELLfNGS IS REQUIRED TO <br />8E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />City <br />P�one <br />State/Zip Phone <br />�i I � a�o <br />4 <br />Contrad Price af Work <br /><\1\ A ( . �\C i.�-�L�.-Q�_ <br />Contact Person (Plan Review) <br />I hereby ceAify ihat I have reud antl examined ihis application and knovi the snme to be We and <br />corred. All provisions o(laws and o�dinances goveming this type of werk will be completed <br />whether specified herein or noL The granting ot a permR does not presume fo give avihority to <br />violate or cancel the provisions of any olher stale or local law regulating construc6on or the <br />perfortnance ofconslrudion. That I am aulhorized by the owner of this propeAy tope iiortn 1he <br />work for which application is made and I comply wilh fhe State Conlradors Law 18.27 RCW anA <br />296200 WAC. <br />� <br />`�'JC� n� <br />��'1; i� �"; L� �- � � � �' <br />