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Jdiay.l5. 2014_11:24aN_Sound Securily Ir <br />N��, :�;;97_F. 2—. <br />ELECTRICAL PERMIT APPLICATlON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9820i <br />425-257-8810 - FAX 425-257-8857 — w�nnv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM '(O 4 PM <br />o��-f3 I roa. 2, . <br />PROJECT ADDRESS <br />Owner Wzil Actlre55 <br />( ' QS�� LG <br />ena fdaii AdOrsss <br />Electrical Cortractor Mail Atldresa <br />�09UI 1`P ��'��b� <br />Slato Ucense Number <br />Propose Us'o of Building <br />DescripNon of Wor <br />�� <br />�6eoono: (1_)I1� <br />1 �..X..�L � 1 r �• <br />C� vl.i�'6 � <br />NOTE: WIRING IN NON•DWGLLINGS IS RGQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF CVERETT LOCAL SALES TpX COD[ IS 9105 <br />C ty <br />C,ty <br />5- �o `��f <br />C- l�{D5-O�(o <br />State�z�p � '�� Pnone <br />StatelZp <br />Phone <br />�,�_�A� c1K70� � �r>''?655_ <br />Ciry StatoZp P�cne <br />G / <br />,; <br />Contracl Price f Work <br />��n �1�6u�l1� — <br />Contact Parson (Plan Review) <br />s <br />1 hCrt;6y cer}ify Ihp( I have read and ezamined this applicolion and know (he same m 6e frue end <br />r.orrecl. All provisions oUaws anJ o�din, n:es yovaming (hrs typa ol work will be completed <br />whe�hrr ypcu6ed he�ein or noL The granlinp o! a pormd does nut presurns fo give au(ho�ify to <br />�dolute or concel tha Arovisions ol any o0�or sta(e or locallaw repu/ab'ny consfrucfion or (lie <br />performance o( construction. That 1 am authonzed by the owr,er c(this property to pedorm the <br />�vr,rk ior �ti-Irich appliceUon is made and 1 comp/y w�tA ihe Sfate Caifrncfors Lew 18 27 RGW and <br />296 TA(J WAC. <br />n <br />�� <br />V—l�r= —, _ <br />� �.— . ' ua:Pi � . . <br />�.�.�.—_'"�'— .---� <br />i� . � • <br />FEE <br />�dOo <br />�1��05' 09� <br />