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From:OutToday 11 4258091071 07/14'1011 11:39 #391 P.001/002 <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 7 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C-110 F7 -04S <br />418 8G m ,A �5(A ) <br />rPyR�OJECT ADDRESS <br />It Q(►-..ob 100ef �c-M 215 bgtn �4 �31A) C1t fXP�44. ull�, ���Dt f <br />owner Mad Address City Slate zip Phone <br />Tenant Mad Address City Slate/ZIP Phone <br />ultnu A amqh I9um aye, ny-. tirc.1o3 Vx yvv� wa. GlbOQ5 <br />Electrical ContractoMail Address City State2lp Phone <br />a,kTT6t) * LI10TL $1l n <br />State License Number Contract Price of Work <br />Y i(itlktC.yl. <br />Proposed Use of Building ,., �M ContactPerson(Plan Review) <br />Description of Work to Be Done: IFOOL_ � GL 0, r9!� LG-M(2 ���V, QUAD <br />NOTE WIRING IN NON -DWELLINGS IS REOUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 — <br />1 hereby certify that 1 have read and examined this application and know the same to be true and <br />correct All provisions of laws and ordinances governing this type of work will be completed <br />whether specified heroin or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regufatmg construction or the <br />performance of construction. That I am authorized by the owner of this roperty to perform the <br />work for which application is made and I comply with the State Contractors Lew 18.27 RCW and <br />296.200 WAC. <br />lu/ I I I107 0�0 <br />ure a e <br />