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MAR. 12. 2013 2:44PM NETVERSANT NO. 7957 P. 2 <br /> I • <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 /> -X130.3 —02S- <br /> oo uk \t.)o. G 14o- a 6 <br /> PROJECT ADDRESS <br /> 0 CICIt~P10,-1 <br /> Owner Mail Address City State/4p Phone <br /> '--60E.71}-1C, ' 3W C SSN 0 QO £�►_, `1X 10-r% CiaCrel <br /> Tenant Mail Address City State/Zip Phone <br /> tJE�cJ�R- )V k ' Wt w s t oay � �w �a.�-c�oN ra G goS'- <br /> Electrical Contractor Mal Address City State/Zip Phone <br /> }\I \15 51 &:4-40-D ._ C3,00 <br /> State License Number Contract Price of Wo <br /> Go M E V--Li � �Q-� .K>N e R 3l 8LI <br /> Proposed Use of Building Contact Person (Plan Review) <br /> 9-0 C3 0 <br /> Square Footage(if residential new construction,remodel or addition) <br /> Description of Work to Be Done: INS-V NU_ ASCA Et,J -C t_�C-C)trk tskU N 4G4k'C\C .) <br /> �U S f•-‘ Loc - , Q <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I 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 herein or not The granting of a permit does notresume to give authority to <br /> violate or cancel theprovisions of any other state or local law regulating construction or the ' � y 0 G <br /> performance of construction, That l am authorized by the owner of this pAroperty to perform The Do <br /> wo 'r which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 2'y. '• WAC. <br /> 12 — t`3 <br /> Sia ature Date <br />