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Sep 13 11 03 451) PRECISION ELECTRIC GROUP <br />4258238655 p l <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FA-X 425-257-8557 - wwAvi.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />I / <br />Owner Mall Address rOff StateMp Mime <br />—To�ir,—TL1 osP, = /00Z— 2gf``/�vv � TT ?YW y s- s3-yosso <br />Tenant Mad Address City stalelLp Fhcne <br />{�[�+iSrdtltf/c-GT.C�LS:���X- �5��3Nc 9o�S. �-i�'��eR/O 54dS2 y2. P,23-R6m <br />Electrical Contractor Mall Address City statelzip Phcne <br />p e: IE(:;: `�5z7N. r,o <br />Stales Ucense Nurubor Contract Price of Work <br />pt� rcrc l toAj i c-7W9-IIJG <br />Proposed Use of Building Contact Person (Plan Ravlow) <br />Description of Work to Bo Do no: �er�i�y/AJ SYA� /76u1 r2 -Ln <br />n �— /lyr S .s>OKE CEO L L <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALE8 TAX CODE IS 3105 <br />cly <br />79� <br />1 herebycertify that I have read and examined this application and know the same to be true and <br />correct. All provlslons of rrttvs end ordinances govemfip this type of work will be completed <br />whetherspecl0ad herein or not a granting ofa perm ( does notpmsume to give authority to <br />vlolate or cancel the pprorovislons of any otherstate or local law regurs rig constmcbon orthe <br />performance of onstnrUion. t I am authorized by the otvnor of this property to perform the <br />work for whit pplication is d and l ply with the State ContractorsLew t8.27 RCW and <br />296 200 WA C <br />nature Date / <br />