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1Y/1V2013 09:58 FA.0 <br />ELECTRICAL PERMIT APPLICATION <br />�ITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetlwa.org <br />J� l o`�. �l ),2'�lYl D f E�J21� U e <br />PROJECT ADDRESS <br />�ooi <br />�I�n+ Bjp�La, 51� We�m�re, A�e� Euer�tL l�A �8-a�i <br />Ownar ldall AAOress Clry Slale4lp Phone <br />PE�f���11908 <br />Slate Licensa Nurn6ar <br />�e� i denc e. <br />Proposad Use of duiltling <br />WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />,. 7_�_ 1 •�� <br />� ias. c� <br />Cornract Price of Work <br />I hereby certily fhat i have read and examined fhis application and know fhe same to he truo and <br />correcL All provisions o/laws end oNinances goveming fhis type oI work will be compleled <br />whether specified herein or not. 7he granlmg ol a pe�md does not prosumo to give oufhonry lo <br />violafe or cancol fho prov�sions olany olher sfafe or locai law rvgu/u(mg consVuchon or Ihe <br />perfamanco ol consWction. That I am aufhonzod by the owner ol Ihis properfy fo pedorm fhe <br />work lor wbich apphca(ion is mado and 1 oomply with Ihe Sfafe Contrac(ors Law iB.27 RCW and <br />296.200 WAC. <br />FEE <br />SC��O <br />� <br />