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From: 01 / 12013 10:20 #382 P.001 /001 <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.everettwe.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> &Sirio 5A-P 94 99 <br /> PKOJIECT ADDRESS <br /> W-20-3 <br /> Owner Mail Address City State/Zip Phone <br /> Soci,b4a ryinariv 3Qa&LA1Vn,2 PC). &=U: Wa <br /> y <br /> Tenant Mall Address City State/zip Phone <br /> 5Fe e. io <br /> foo r <br /> &vA'5 99103 01 1 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> State License Number Contract Prloe of Work <br /> JeW406,I j�e r <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �QUi V'Q/151¢� /�Q"�55' &W j noor5 <br /> NOTE: WIRING IN NON-DWELLINGS 1S REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. 5f� ov <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that/have read and examined this application and know the some to be true and r <br /> correct. Ali provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a pennit does notresume to g/ve authority to ( 30 (— OW <br /> violate or cancgl the provisions of any other state or local law reguf ting construction or the <br /> performance o cone uction. That I em authorized by the owner of thisroperty to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 298.200 W C. <br /> /— _.2013 <br /> ' lonetu ate <br />