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SEP-24-2012 09:27R FROM:PROFESS(IONRL ELECTRI 360 435 1182 50:4252578857 P.1�1 <br /> \ �' <br /> ELECTRICAL PERMIT A�PP ICATION <br /> CITY OF EVERETT PERMIT SLRVI ES <br /> 3200 CEDAR STREET, EVERETT, Wq g8201 <br /> 425-257-8810 - FAX 425-257-8857-www,everet a.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 M <br /> 3.r/r s� e,e r�..e � <br /> PROJECT ADDRESS <br /> �avt � e.ro o., �� .o.-, . d <br /> owno� Matl Address �� /6'J_ y� . •, [✓ S�>»- <br /> Y tate2lp <br /> Phone <br /> Tenant Mall Atldresa <br /> Clly tala2lp <br /> PhoRe <br /> ��t s o.,� � cfr� o ��W=JJO-.2810 <br /> Eleclrlcal Conlraclor ^� r ., ,4 8 j <br /> Mall Addreso ���Y <br /> an �., te/Zip Phone <br /> / I�(/`.�� .�V 7 7 .�L <br /> State Liconse Number <br /> Contract ce of Work <br /> �x �J�' r� � / <br /> Proposed Uso of Bullding <br /> Conlact P son (Pian Revlew) <br /> Description of Work lo Bo Done; /cr S <br /> �'t t QG <br /> � /z ,J „ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO F E <br /> BE IN RACEWAYS, MC ORAC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 � <br /> 1 hereby cort!(y fhat 1 havo read and oxamfnod Ihis apAlicaUon end know the same lo bo frue end �,a�- ,a i <br /> conect. All provlslons of laws and ordinances govemfn�fhls type ol work wlll be completed <br /> tvhefher specilled herein or nol. The prnntlnp ol e perm f does no(p resuma to glve aufhodty to <br /> violefe or cencel tlie pravisions ol any ofher sfefe or Ixel law reguleflnp constructlon or fhe <br /> pedormnnce o/consfnicflon. Thof I am aufhodzed by fhe owner ol thls aroporty fo poAorm the <br /> wak lor whicli applicelion Is medo end/comply wlfh Uie Sfafe Contrncfors Lew 18.27 RC W and <br /> 29G.200 WAC. <br /> �-� ��--�.-- 9-a� /> <br /> Sipnaturo Uale , <br />