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Seo. 5. 2013 11 : 02AM . 1o. 9619 P. 2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8010 - FAX425-257.6057—www.everettwa.orll <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM / �6—13 <br /> 3La> tv� A- SW EViyat w A- q 820 B <br /> PROJECT ADDRESS <br /> Sharon Conn-mm Garv\t as -- <br /> Owner flail Address City staietzip t'none <br /> Tenant rda.l Address City Stalo/lip Phone <br /> C D1 'rine I468d �5I ( ���A <br /> ElaCiri Contractor Address c ,ate,7 <br /> GYWCAMNg01(1�1 2. 0 <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plana Ruvia%% <br /> Description of Work to Be Done, Anal .lL //��h� �U O - W S <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br /> BE IN RACEWAYS, MC OR AC CADLE. _--- — <br /> Gj�. pa <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br /> I hereby teddy that I have read and examined this applicetion and know the soma to be true and <br /> Correct All provisions of laws and ordinances governing this typo of work will be completed <br /> whether specified herein or not The granting ofa perm fr/oes not pprnsume to give authority to <br /> vro ate orcancF1 the provisions c, on other Into orlocol taw rogul ding construction or the <br /> Z** <br /> o/construetlon. That I�m authorized by the owner o1 this Proporry to porform Iho <br /> vier*for which application is made and I comply with Wo State Contractors Low 18.27 RCW and <br /> 286 200 WAC. <br /> 1 511 <br /> Signature Date <br />