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ELECTRICAL PERMIT APPLICATI�2N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE[T, EVERETT,WA�J8201 <br /> 425-257-8810-FAX 425-257-8857-vnvw.everellwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1701 41st Street <br /> PROJECTADDRESS <br /> Or. Norman 3125 Colby Ave, Suite H Everett, WA 9B201 � <br /> Owner hiail Address City State/Zip Pnone <br /> Tenant MailAddress City Stale/Zip Phone <br /> Rodgers Electric PO Box 1152 Everetf WA 98206 425.252.2107 <br /> Eleclrical Contractor Mail Address Cily Stale/Zip Phone <br /> RODGEEC232PA � �•�•� <br /> Slate License Number Contract Price of Work <br /> Dr. Normon - Dental Office � <br /> Proposed Use o(Bu�;�iing Contact Person (Plan Review) <br /> Description ot work to Be Done: Complete Denfal Clinic TI: Distribufion, Gighiing, Power, Phone/Dafa Siub-Up <br /> Sound - Speakers, VC B Cabling. <br /> NGTE: WIRING IN NON-DWELLINGS IS REDUIRED TO FEE <br /> BE IN RACEWAYS, MC OR A�CABLG. � $ 760.00 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that 1 have�ead and examined fhis applicalion and know fhe same to be true and <br /> conecL All provisions olla�vs and ordinances goieming Ihis fype o/�vork�vill be completed <br /> whether speci(ed herein or not The gran(ing o/a permif does nol presume to give authonty to <br /> violafe or cancel the provisions ol any other state or local law regulating consf�ucfion or the <br /> peiformanco o/conshcction. That 1 am authonzed by the o�vner o/fhis property fo pedorm fhe <br /> work for which application is made and I comply wilh fhe SWte Conhacfors La�v 1827 RCW and <br /> 296200 WAC. <br /> ��-N'�� \ HodCers Elc".ie Co..Inc. <br /> C J�' im <br /> Jeffery Oisen 4/18/2Q07 �ob: �094 <br /> —� 7� I I 11 � <br />