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03/02/2010 15:45 I'AS 4253357830 VARNELL ELEGIRIC Z 002/003 <br />l <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 <br />APPLICATIONS ARE ACCEPTED FROM 8 Aid TO 4 PM <br />9sr�- ll�, Dry <br />PROJECT ADDRESS <br />i aNldsjyvn k 6ns6uc m *4 Srnwme/zp 94bit.. Ada- 989/2 yLs'7ry;tar2 <br />Owner Mail Address City Stateop Phone <br />Tenant Mall Address city Stalemp Phone <br />, C litho (,7% gojS' M9Z uC L(/urf �/� 21 4/2S`_?3r7660 <br />Electrical Contractor Mall Address City Stalemp Phone <br />State License Number Contract Price of Work <br />Proposed Use of Building /, Contact Person (Plan Review) <br />Descriptlori of Work to So Done: (NS K 6yea . d-el 7-�P <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 />7 <br />1 hereby certify that I have read and examined this application and know the same to be true and r'� Cow <br />correct. All provisions of laws and ordinances goveming this type of work will be completed <br />whether specified herein or not. The granting of permit does not presume to give authority to <br />violate or cancel fire provfslo of any other state or local law regulating construction ortho <br />performance <br />for which eppll efico I �s ado end I comply evith the State owner <br />ntrhactors Law 18 27�RCW and <br />296.200 WAC. <br />3-a-/o <br />SI re Dale <br />