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r <br /> �1� . �� ' � looy-o.2� <br /> ELECTRlCAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ,��ol ,23-"�'� 17/, s'fe. /d2 <br /> PROJECTADDRESS <br /> Ownef / � Ma' Addrpss �� Ciry State2ip Phone <br /> V Q.f�l �h4 n �U14�i'�9 e <br /> Tenanf MailAdtlress City SGte2ip Phone <br /> Merit Electric, Inc. 19029 36th Ave West Suite D Lynnwood WA 98036 (425)775-135fi <br /> Electriral Contractor Maii Address City State2ip Phone <br /> MERITE10448Q <br /> 2 3ov J <br /> State License Number Contract Price of Work <br /> Proposed Use of Puilding Contact Person (Plan Review) <br /> L r"" <br /> Description of Work to Be Done: T f'j U�J I ,�/Y7/'r Q vL��l e/z <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby certily fhat I have read and examined fhis application and know the same to 6e true and <br /> corred. All provisions of laws and ordinances goveming this rype ol work will be completed E lC�)Cj �U�l. <br /> whether specified herein or not. The granting o/a permit does notpresume fo give authority to <br /> violateorcancelfhe provisionsolanyotherstateorlocallawregulatingconshuctionorfhe <br /> performance ol construcfion. That 1 am authorized by the owner o/this pioperty to per/orm the <br /> work lor which application is made and 1 comply wifh the Sfate Conhac(ors Law 18.27 RCW and <br /> 296.200 � <br /> �-•20 -�oIO <br /> Signat Date <br />