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03/17/2009 12:18 2537701177 SINE WAVE ELECTRIC PAGE 03/03 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 08201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.oig J <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ca903 o�q <br />3711 W . YV1i,�K-I li C o P�V�i _ <br />PROJECT ADDRESS <br />Ownor Mail Address Oft, Stale/Zip Phene <br />Tenant Mail Address City Stale/lip 005.770,?Y63fy2 <br />�tm Onlire —I 1,-fVic (nG 1000 15QH1 5T t� y Itla11Ua, «» g857 <br />Electrical Contractor Mail Address City Slate/Zip Phone <br />binewwe IMAJ-6 L'$'/�. �7v <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person 1PInn Rovip.l <br />Description of Work to Be Done: <br />� J <br />NOTE WIRING IN NON -DWELLINGS IS RE( <br />BE IN RACEWAYS, MC OR AC CABL <br />CITY OF EVERETT LOCAL SALES TAX CODE IS <br />I horeby certify that I have read and examined this al <br />correct. All provisions of laws and ordinances goven <br />whether specified herein ornot. The granting of ape <br />violate or cancel the pprevisions of any other state or, <br />performance of constnrction. That I am authorized b <br />work for which application rs made and I comply with <br />29A 200 WAC. <br />IL <br />gnature <br />