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02/06/2013 we� 1�: 0: FA% 77077255DZ Rogeie slectric <br /> �009.'J13 <br /> ELECTRICAL PERMIT APPLICATION <br /> CI7Y OF EVERETT PERMIT SERVICES <br /> 3260 CEDAR STREET, EVERETT, WA 98201 a —07 ��3 <br /> 425-257-8610 - F.=.X 425-257-8857—www•everettwa.org C�,�g a _D a�7 <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 i'M <br /> v K�PROJECT ADDRESS �DVL 1� 1�1 J <br /> st�,rb�c�s Zv It • 318- <br /> ;�,�"",;;,:: , ,n�s,� 2�101 vi�7l�� �.� S ,S2nth4, Wa��ISsI�� is7s <br /> �e� Ma11 Addreas Clly Ip PhonB <br /> 1 enani /1 <br /> Mall Addroaa City Slale2lp Phonn <br /> �IY�{Z�rG �.l! �ilk� 1,b$0 IMG.YCO�'� ':'.f1U � � l�'� s <br /> EleCfrICBI�6nireCtor Mail Adtlm9e Clly St Z�p Phone <br /> :vr.c yi ��+A�r1-��j�1 $Sb •fY� <br /> S at la Licenae Num6ef Conlracl Price of Wark <br /> ,�L1�1�S�lS� � <br /> (��� � ��� � ��� �` W Q ��.���� <br /> Proposa" d Use of Building Contect Pereon (Plan Revie�+) <br /> Square FootaAa(If residantiol new construdion,remodel or addi(ion) <br /> Dnscription of Work to[le Done: I�Z'�j�,�,�GdJ�2�� l'arr,ui f /Y ro or ' <br /> NOTE' WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. � � �•UG <br /> CITY OF EVERE7T LOCAL SAI.68 TAX CODE IB 3�06 <br /> I horoby cortlry fhof!havo rood and oxaminad this applicaGon arrd know tha semB to ba Irue end f' Z � Z� <br /> coirecf. AH provisions of laws and artiinancos poveminq fhfs rypo o(work wiN be complefed G) �J� �� � � �l <br /> whothor spaclNod horoln ornof. Thu gront�np ol a permd does not �esume to give aufhoHfy fo <br /> violyfeorcancelthe mvisionsofanynfhersfefaorfncal/a�vieguPetir,gctinstruchonorthe <br /> peAormance o�cona�iucNon. Tf�at!am authorized by the ownerol fhis property to perfomi fho <br /> wnrk fo�wliich nppllcnllon!s modo end 1 comply witl�fhe Stafe ContrecNors Ca W 10.27 RCW end <br /> 29fi.200 WAC <br /> c ���"] <br /> ipnoWro D e <br />