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SEP-29-2005 11:18 FROM:PERMIT _ 4257756315 T0:14252578857 P.3 <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 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />1-731 7�ZA l-1Jo�; <br />PROJECT ADDRESS <br />s A Sri 5 i4C 73 i 7 �h f-1A 5X-0`r-rH 9f 3 <br />Owner Mall Address City Stetclzp V2.T Phone <br />44jk.c._ 31-3- yr�z- / <br />Tenant Mall Address 2 L-.ivfet`.e..i �7�� tataZp Phone <br />Electrical Contractor Mall Address City Slate2lp Phone <br />Gyf} fH /6,I9216 76yr <br />State License Number Contract Price of <br />/ <br />J' � Lf%u_d4.�/5- -e1t7 <br />Proposed Use of Building Contact Person (Plan Review) <br />'n <br />� Description of Work to Be Done: a' `S / 3 0 4 �`"C C.�! Ae--lZ,1 <br />f� <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS. MC OR AC CABLE. <br />CITY OF EVERETT LOCAL 3ALE5 TAX CODE 15 3105 <br />1 hereby certify, that I have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of wort will be completed <br />whether specified harem or not. The granting of a permit does not resume to give authority to <br />violate or cancel the provisions of any other state or local law regulating constructon or the <br />performence of construction. Thst I am authorized by the owner of this property to perform the <br />work for which application is made and/ comply with the State Contractors Law 18.27 RCW and I <br />296.200 WAC00, <br />gnawre Date <br />(, <br />1`l `J(Vt-(T" <br />