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Feb-02-11 08:59A <br />P.O1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE r, EVERETT, WA 98201 <br />425-257.8810 - FAX 425-;257-8857 — www.evttrettwa.org <br />APPLICATIONS ARE ACC SPTED FROM 8 AM TO 4 PM <br />32a3 PINC Cr_ <br />PROJECT ADDRESS <br />F-0 R Al Isk k-- <br />0 <br />Owner <br />Mall Address <br />City <br />Statefzip <br />0a-0IV <br />Y-2s <br />a sd' <br />Phono <br />Tonant Mall Address City State/Jp Phono <br />1�4*ML <br />t z.t /s� 1Ero .v v _ �L— fir,; 1(/ 1� <br />ElOclrical Contractor Mail Address City SUJIH/Zip Phone <br />aSo - a rty,f, rs61 <br />Slalo Llconso Number Contract Price of Work <br />1 <br />Proposoa Use of &lildlny Contact Person (Plan Reviow) <br />Doscription of Work to Bo Done: Sl pUj� <br />NOTE: WIRING IN NON•OWELLINGS IS REQUIRED TO <br />9E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I heteby cotLfy that I have marl and examinod this applicnGprl and dhow the sanle to So huo and <br />cotloCt. All provisions of lay.•S and ordinances govetnutg tilts t}7le owork will be completed <br />whaihor speciriod hetein or trot. The granting of a pormlt dues not [� tesumo to give eutlloaty to <br />vlolate or cancol the pprovisions of arty other state or local law regulr, Ling construction or rho <br />performance of constntctioa chat i am authorized by tho owner of Ihis ptopedy to poiform file <br />work fnr which opplication Is mado and i comply nrth the State Call •actors Law 18.27 RCW and <br />298.200 WACa i <br />FEE <br />So ° <br />I <br />llba _Li u <br />