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Nov. 7. 2013_ 9: 20AM Sr Security IncNo. 0025_P. 1/1 <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—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> &Li 20 .--. 3es SI/c-eliL <br /> PROJECT ADDRESS <br /> Owner Mail Address City State/Zip Phone <br /> .510 Va.(Ity Pr6CP,5 SDI U4-icYY13 75V-SSS"j <br /> Tenant OthiC <br /> Mail Addressattlefraf( <br /> City Sate/Zip Phone <br /> SO014145 <br /> K0� • ; I pre I qg?al -3655 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> 5guT P *qta D7 1 00 <br /> State License Number Contract Price of Work <br /> _ cry. ' Qi-.) NVAX� <br /> Proposed Use of Buildi g Contact Person (Plan Review) <br /> a <br /> Description of Work to Be Done: town Vo 1-tay.... 3-ebird---y 5` i. <br /> a. cimfai 1 ()Lev;C;e(;) <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> SE IN RACEWAYS, MC OR AC CABLE. D <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I have read and examined this application end know the same to be true and E i 3[ 1 _U <br /> correct. All provisions of laws and ordinances governing this type of work will be completed v <br /> whether specified herein or not. The granting of a permit does notresume to give authority to <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That I am authorized by the owner of this property to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.2!r WAC. <br /> ' ignature ate _ <br />