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Oct 29 13 07 45p Vick a 3606914838 p.1 <br /> e'et" 691- 939 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32GO CEDAR STREET, E LF.' T. WA 98201 <br /> 425-257-6810 - FAX 425-257-68E , - www.everettwa.Org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> 3_ r� �o'-�•t s� <br /> PROJECT ADDRESS <br /> OwmeV Mail Address city Slawzlp Phone <br /> Tenant Mall Address Gy Statelzip Phcne <br /> tjls�p_o e"4t, ?P. dor 09 wR- 310 01-yc39 <br /> Electrical Contractor Mad Address city staierLp Phone <br /> State License Number Contract Price of Work <br /> Proposed Use of Builoing Contact Person (Plan Review) <br /> Description of Work to Be Done: `�-l.il�f- (, N-{_� () <br /> �' •t.�..ruf cozy <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. 7 r2 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS X105 / <br /> I hereby certify that t have read and examined this application and know the same to be true and <br /> correct. All provisions oflaws and ordinances governing this type or work will be completed 1 <br /> whether spec:fied herein or not. The granting of a permit does not presume to give authority to <br /> violate or cental the provisions of any other state or local law regulating construction or the <br /> performance ct construction. 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 Slate Contractors Law 18.27 RCW and <br /> 296.200 WAC <br /> SlonaWre Date <br />