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I1/25%2013 15:32 FA 4253357830 VARNELL IiLECrRIC <br />0002/002 <br />'g,10S <br />PROJECT ADDRESS <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 <br />H -TH S T S E <br />ya5 4Z2 t088 <br />7,n. «ox 7110 E-Vfr2.ETr WA 9tL20ID <br />Owner Mail Address City Statel ip Phone <br />Tenant Mail Address City Stale/Lip Phone <br />1/ r 403 S-05 -I.100 <br />Contractor Mail Address City <br />Vten KiFerC,-7 Sim b <br />State Llcenso Number <br />(7F2 <br />Proposed Use 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 />State/Zip <br />1Iā€ž2S6 v <br />Contract Price of Work <br />Co Hatt Person (Plan Review) <br />CITY OF EVERETT LOCAL SA,.ES TAX CODE 18 3105 <br />1 hereby certify that I hove reae end examined this application and know the same to be truo and <br />correct. All provisions of laws and ordinances goveminp this type of work will be completed <br />whether speclried heroin or not. The granting of a permit does not prosume fo glvo aufhodfy to <br />violate or cancel the 1pprovlslons of any other sfere or local law regulating construction or the <br />work or which eppllcenllori s m de end I complyewith the State Contrncto spLew 18 perform <br />7 RCW and <br />2oa qna wet <br />Phone <br />FEE <br />E1311- ISO <br />