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_----- - ----- - --- --- ---- <br /> -- � � <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 -v�nvw everettwa org <br /> ���yo6 -� ag <br /> � --�9- iu <br /> 30C3 P7 Casino R.d q40-A6 <br /> PROJECT ADDRESS <br /> 6r;� inq PO Bcx 3'ti" hi., 1 E �9 `carr;� I9A 7:�d_f�;n-.. i9d <br /> OwnCr--_—__._ Ma�{Atlaress - C y _._ - S�atelZ�p Phone <br /> Boeinq _ <br /> TenaN Afad Address � C:y 5iateR�p Fhonc <br /> Prime Eleccrir, Tnc 13?01 SF. �6th Beilevie P7A 4.'.5-747-5700 <br /> Ele[tnc�l ConUactor Maii Atldress Gty State2�p Pnone <br /> piim�eii34bt 1 , :96, Z2�i <br /> Slate License Number Contrecl Price of Work <br /> Of : ice P1arF: Wir.herbee <br /> Pwpnsed Use ol Bwlding Contact Person (Plan Review) <br /> 19C , C00 <br /> Square Foolage(If residenlia'� new construction, remotlr.l or addilion) <br /> Number of tlewces III low voilage) <br /> I DescnphonolWorktoBeDone �t } i �F ��cmodel - Reconfigurr� oCfice furni[ure :rystem <br /> I -- -- - —-- <br /> i — -- - --- - — - <br /> FEE <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 I O ��� �^ <br /> 1 hemby cerhly Ihat I havr read anU rrarnmed ifus apphcah:n and 6now fhe sarne fo be 6ue and � - - <br /> correr.t Au provis�ons o!laros ancl ordmances gove�mny Ihrs fype o/�voi6 w�dl be canplefeJ - – -- <br /> whefhe�speaGed hercur or nof The granhng o!a pernut does nol pmsume to grve aufhonty fo PERPIIT# <br /> viola(e or cancr.l fhe provrsrons ol any ofher sfafe or local law regulalrnr�consLvcbon or thr. � I , r O� ! I �� <br /> perforrnance o(consfn hon T iat 1 nm aufhon�ed by Ihr owner ol fhis property to peAorm fhe �j <br /> ��o�k /J�wh�ch�pphc ion is ade and I mply� fhe Sfv1e Conh.�clors Law 18 27 RCW and _ _ _ <br /> 296 200 WAC <br /> —_ . S�gn ure aie <br /> �L�-- <br /> RCVISED 740'�7 �. <br />