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Jul 25 06 06: 35a P• 2 <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 evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> JIM 8'o S�. S W sfie. g� C <br /> PROJECTADDRESS <br /> _5'2� Commty 11C, n?2 IVE 97� Sey flj'lel_ V- 9XIT <br /> Owner Ma I Ador s Cdv State/Zip phone <br /> z I bio 8"0 qysf SW <br /> Tononl Ma-1 Address CRY StatetZip 11ho-e <br /> Merit Electric, Inc. 19029 36th r+ve West Suite D Lynnwood WA 98036 (425)775-1356 <br /> Electrical Contractor Mad Address City State/zip Phone <br /> MERITE1044BO <br /> State License Number // C°�'�rac R calf Work <br /> 161leLie ��y� fozo <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done 71?1,7A <br /> JF <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETI LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby eerily that 1 have read and examined this application and know the some to be true and <br /> correct. All provisions of laws and ordinances governing this typo of work will be completed <br /> whether speci!red herein or not. The ranfing of a perm�f does not presume to give authority to <br /> viol99te or came rovisionS a any other kale or local law rogulating construction or the <br /> performance of construction. That/am authorized by the owner of this property to perform the <br /> work for which application is mado and 1 comply with the State ContractorsLaw 1 B.27 RCW and <br /> 296.200 WAC. <br /> a064*Pft- <br /> 100Spnature ale �7 <br /> t./0 - ir�� <br />