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Oct 20 2010 12:34PM West Seattle Furnace 206 935-0735 1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />UDO CEDAR STREET, EVE-RETT, WA 98201 -io / <br />425-257-8810 - FAX 425-257-8857—www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM / <br />� ►a <br />PROJECT ADDRESS <br />Oymer fallAddreaa Gty SIN jrZIp Phone <br />Tenant Mel Addreea City Slawz'p Phone <br />�x "Ail 1AI l quo\ a 2xl wo.. Q 8 �o e <br />Eloetneal Contractor Mill Address city S!¢1l 61tiu Ion <br />o <br />State License Number Contract ll oe of Work <br />Proposal Use of Building Contact Potion (Plan Review) <br />Desctiphon of Work to Be Done: �i \��QL�1" W NrY\-n1J <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO i 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 road and examined this appllcalfen and Anow the same tc be true and <br />convict. All provisions of Paws and crdmancos governing this type of worA hill be completed / <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violets or cancel the visions of any other state or local law rogutating construction or rho L l� <br />perfom:anee of cons ruction. 7hof I am otrmorized by tho o%vner of this property to parfomt the <br />Z work for l C application is made and I comply with the State Contractors Lew 16.27 RCW and <br />t_ scnalme Dnte <br />i <br />