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NOU-02-2008 19:46 From: To:2578857 Paee:1�1 <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 Q <br />NPPLICATIONS ARE ACCEFTft7. r t OMBAM704PM <br />3yA. S�ra�- - <br />PROJECT ADDRESS <br />Owner _--_ Mail Address City Slate/Zip (�. n— Phone <br />OMc 26 6- ' 5— 6/fjl )fi 49Z6/ a5y-_Sirs <br />Tenant Mail Address City Stale/Zip Phone <br />Electrical Contractor Mail Address City Slato2lp Phone <br />76 <br />Stele License Number Contract Price of Work <br />-Q-j� am� <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: <br />�ti Covtro l �--J <br />NOTE: WIRING IN NOIJ-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I havo read and examined this application and know file same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whother specified herein or not. The granting of a permit does not presume to give authority to <br />violate of cancel the previsions of any other stale orlocal law regulating Construction or the <br />performance of constriction. That I am authorized by the owner of this property to perform the <br />work for which application Is made and I comply with the State Contractors Law 18.27 RCW and <br />MVVAC. <br />1 <br />CCW. <br />FEE <br />