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Jun 1 9 M; (I I <br />P.1 <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 — wwov.everellwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />0 $ 0. �fLl <br />- <br />PROJECT ADDRESS <br />nume. Mall Address, City Stateiz.- Mona <br />Merit Electric, Inc. 19029 361h Ave West Suite D Lynnwood WA 98036 (425) 775-1356 <br />Electrical Contractor Mail Address <br />MERITF104400 i I <br />) Ai'5 <br />State License Number <br />Proposed Use of Building <br />r I is / <br />Description of Work to Be Done <br />NOTE. WIRING IN NON -DWELLINGS IS REQUIRED TO <br />DE IN RACEWAYS, MC OR AC CABLE, <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Cry stateZri Fnono <br />Contra l[ Prlceu <br />Contact Person (Plan Review) <br />FE1$2`77- <br />E <br />a6 <br />I hereby certify that I have read and examined floss application and know the same to be true and <br />correct All provisions of laws and ordinances governing this tyre of work will be cOmploted <br />whether spocified lrenrsn or not. The granting of a permd does not presume to give authority to <br />vroluto or cancel the provisions of any other state or local law regulating construction or the <br />pedur lance of construction That lam authonzed by the owner of this property to perform the <br />work for which application is made and I comply wBh the State Contractors Law 18,27 RCW and <br />296 200 W C. / <br />n <br />Signa isDatn <br />U) <br />