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Feb 06 09 08:09a Interior Electric, Inc. 3608638678 p.2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES3200 <br />a_o 6-09 <br />REET, EVERETT, WA 98201 <br />425-257-8810 FAX T425-257-8857—wwwyeverettwa.org <br />050 - ;13 <br />- <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />4d <br />liU2C`c) to,tn ABC JL were- tt <br />PROJECT ADDRESS <br />y2S <br />Owner Mail Address city Stale/Zip <br />Phone <br />Cf eCJ <br />7`1 I <br />Tenant Mail Address City State/Zip <br />Phone <br />3c,ro <br />�l_lTr1�'T�il� Fi_�ClP.rC TtiL .71�12P� /C,.'�t�1�t'C�L- //rCr/)!G� <br />�.c1/� g�:�j•�� <br />Electrical Contractor Mall Address City State/Zip <br />'nZ_72 Pnone <br />JJ . ec <br />Slate License Number Contrail Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: T <br />��5 5TA r=n1t� <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />c. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined this application and know fire same to be true and <br />correc(. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or riot. The granting of a permit does notp resume to give authority to <br />violafe orcancel the previsions of any other state or local law regufah'ng construction or the <br />That I by the this to the <br />-.._-. ,...- <br />- <br />perromtance of consfruction. am authorized owner of pp roperly perform <br />work fcr which application is made end I comply with the State Contra C/ors Law 18.27 RCW and <br />296.209 WAC. <br />2Z512_Qa5 <br />I�Sgnature Dale <br />c�od,o&� <br />