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12/11/2014 10:22 253-631-7754 PROVIDENT ELECTRIC <br />PAGE 01/01 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 0 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />Cl�ffz--c�i� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />i„iVI J1-1 / 1 I pryl� <br />V - - <br />citystate/zip <br />--- <br />Phone <br />Owner <br />Mall Address <br />Tenant <br />Mall Address <br />SlateMp <br />Phone <br />4 1 <br />LAIC �12�X�1o8�1 Ind <br />c <br />i2'253 <br />Electrical Contractor <br />Mail Address ry <br />Slaie2lp <br />Phone <br />Phone <br />�OV1"�Io3C � <br />State License Number <br />Proposed Use of Building <br />Descnption of Work to Be Done: <br />4V <br />NOTE WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />2,0��.U0 <br />Contract Price Of Work <br />Contact Pe so (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have road and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified heroin or not. The granting of a permit does not ppresume to give authority to <br />violate or cancel the provisions of any other state or local law regulahng construction or the <br />performance of construction. That f am authorized by the owner of this property to perform the <br />work for which application is made and I cornply with the St to Contractors Law 18.27 RCW and <br />296.200 WAC. <br />r <br />E <br />L0Z.C;0 <br />