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Aug. 29. 2012 12:18PM <br />No.5042 P. 6 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES o <br />3200 CEDAR STREET, EVERETT, WA 88201 <br />425.257.8810 • FAX 425-257-8857 - www.everettwa.org L- 2 -20 g ,13I <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ST SE EV q&_�03 <br />PROJECT ADDRESS <br />-Lw� !Gary& 425 4382.7(oI <br />Mall Address City Slale2lp Phone <br />TP,nant Mall Address city Statelzip Phone <br />Electrical Corn •actor I Mall Address City Stale/Zip Phone <br />Uj-n 01gR <br />State License Number <br />Proposed Vse of Building <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />`UJo 0 <br />Contract Price of Work <br />abbe, <br />Contact Parson (Plan Review) <br />FEE <br />5000 <br />I hereby cedJy that I have read and examined this application and know the same to bg WV and <br />cormcf. Allp visions !laws and ordinances D vemmp this a of work will be competed �, "� Q - I3 1 <br />whvVfher apex( wd hereppn wWnof. T�hhe pre h'np o pa permit ctl oe notpprgsume to pive authorit fo L, <br />vioilate or cancel the pproro( visions o/eny at or state orlocalle �'7ule !rip const .1%n o they <br />performance ofconsuuchorn. That tam au8rodred by the owner of Is properf� to Re�f{prm the <br />work2 qr whA h application is made and I comply with the State Confraclors es 18.77 RCW and <br />