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Apr 01 11 02:02p Rob's Electric, Inc . , 425-334-7056 p.2 <br />ELECTRICAL PERMIT APPLICATION <br />4 l Y � � �kt'� i Rvi ET �7 EC1 V l 1%W ES <br />3200 CEDAR STREET, EVERETT, WA 33201 <br />425-257-8810 - FAX 425-257-8857—mimi.everewa.org <br />APPLICATIONS ARE ACCEPTED FROfJ 8 AM TO 4 PIS <br />PROJECT ADDRESS <br />Loa D <br />Owner it Address City Siate2ip Phone <br />Tenant Mail Address City StateQp Phone <br />.�f"il,1 � �? l�f�� i �.�-r�i �"'1� E``�C t.(.iPi� � .'�1:5•C1 `�'� CE� f�'!.�T ey��.i� `��;i���� <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number Contra --I Price a i,M1lorl; <br />Proposed Use of Building <br />Contaz:t Person (Plan Review) <br />Description o: Work to Be Done: I je <br />DOTE: IVIRIING IN hON-DITELLWIGS IS REQUIRED"TO FEY <br />BE IN RACEWAYS, k0C OR AC CABLE. <br />I I <br />CITY OF EVERE T T LOC.".L SMLES T.^-.Y. CODE IS 3105 <br />i <br />nere{J}� De�iif� that I have read and e=mined this application and know t.)e same t0 be true and <br />co,i @C`�. loll :xovisions of is rvs and ordinances gavei-rlc .J in'w �y�pc,DT <<'.7r1: will be C3.^.'tplei$:. <br />�cu er spaiCtred III eraii i pr.io11 Th,e gran .ig -5f a parm. It Goes not prps-,Tn9 to give a0thorigw to . <br />Violate or cancel the provisions of any otter state or local iaw regulating construction or the <br />pefformanp—p of construction. That! am aautnonz@ : by the mun?r OT MS prope4rby to Derfo." the <br />work for w, ii.ah appiicat ion is nao t and I cDn1pIy %qf h the Sto o Contrac o\rs Low .a27 -:--rCVV an <br />/Date If <br />Gui.LJ:i Yl'KCi. ' <br />I <br />I / <br />I . <br />