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09/21/2009 12:47 FAX 3606539435 GARVIN I.NT INC Z 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.everethva.ofg <br />4PPL.ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />lu/� 74ff GCLG.oat <br />PROJECT ADDRESS <br />Owner Mail Address City Stato/Zlp Phone <br />Tenant Mall Address City Slate/zlp PhDna-' <br />roc tars itlr, JOQ. Qox /ku -27 tz I //Al /J 9�d �D 9�iCSa <br />Electrical Contractor fMail Address City State/Zip Phone <br />PT4Z-99/CT <br />State License Number Contract 15fice of Work <br />--S& 844e / 0lttifl-11,so.2 <br />Proposed Use of Building % Contact Person (Plan Review) <br />Desci iption of Work to Be Done: <br />Jr <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 />l 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 not presume to give authority to <br />violate or cancel the previsions or any ofher stato or local law regureting construction or the <br />performance of construction. That 1 am authrnzed by tho owner of this property to perform the <br />work for which application is made and I co.rnp/y with the State ContractorsLew f8.27 RCW and <br />296.200 WAC. n <br />P /u <br />IOnatme 64/17 Ualff <br />co <br />