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FROM :GUARDIAN SECURITY • FAX NO. Nov. 27 2012 12:49PM P1 <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 /> V <br /> PROJECT ADDRESS <br /> Owner Mail Address U City StatelZip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> - 4_,X,426;�W_ c��,� C ls� 0 "5ePW1Lz- 2 l3 <br /> Electrical Contractor Mail Addred City State/Zip � �Z�Prope'O <br /> (� 1.1,4<2�SS23 � <br /> Sta3'e License Number Contract Price of Work <br /> Propo ed Use of Building Contact Person (Plan Review) <br /> Description of WOrh to Be! Done; <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> 0 -60 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I have read and examined this applicafion 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 a permit does not presume to give authority to s <br /> violate or cancel the prov'sions of any other state or local law regulating construction or the I Z1 I 17 <br /> performance of const n, That 1 am au rized by the owner of this property to perform the <br /> wprk <br /> for which appl tin is made and l ply with the State Contractors Law 98.27 RCW and <br /> 296.200 WAC. / <br /> gn a Date <br />