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FROM : EMERALD RIRE INC. FAX 110. : 253e725797 Jul. 30 2009 07:38AM P2 <br />I <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 AM TO 4 PM <br />-�-Lrc(et)bf� Qac� <br />PROJECT ADDRESS n , <br />­7�ra/P�rm g2o3 <br />Owner Nall Address City Stata2ip Phone <br />TRnant V Nail Address City state/zip Ptwna <br />a <br />Electrical Contractor Mall Address City State2ip Phone <br />qA I <br />ate License Number Contract Price of Wort: <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: Cten/ ?7 <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 />I hereby certify that I have read and examined this application and know the same to be true and <br />correct All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The .granting of o permit does not prosurne to give authority to <br />violate or cancel the previsions of any other stale or local law regulating construction or the <br />performance of construction. That lam authorized by the owner of this property to perform the <br />worts for which application is mode and / comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />Aw & U <br />Slgnatura � % Da <br />