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12/16/2008 09: 46 2538503470 HERMANSON SERVICE PAGE 03/05 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br /> . -ani Ever. <br /> PROJECT ADORES �anC U o <br /> Owner Mail Address City State/Zip Phone <br /> ► r Oe mpi .0 0 a 11a e b �- ; .i• <br /> Tenant Mail Ad.ress City State/Zip Phone <br /> Electrical Contractor Mall Address City State/Zip Phone <br /> �r mCCLCA toDb <br /> State License Number Contract Price of Work • <br /> A\:(tn,ht rci- ME .T1)1- ��� • <br /> !'reposed Use of s Building Contact Person (PIa r=view) <br /> B ding U <br /> Description of Work to Be Done: 0.aot \ O t l l <br /> e►- <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> • <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> /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 governinyl this type of work will be completed <br /> whether specified heroin or not, The granting of a permit does notresume to give authority to <br /> violate or canoe/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 ade and I comply with the State Contractors Law 18.27 PCW and <br /> 298.200 WAC. <br /> ' 440.4. 414, <br /> Signature y rate <br />