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Sep 10 1203:21p Mr. Electric of Kin�Co. 425-697-5077 P•Z <br /> � ` <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES q,� � _ �'1. <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257�810 - FAX 425-257-8857—www•everettwa.org �1 '7�c7'"�5 3 <br /> APPLICAT10N5 ARE ACCEPTED FROM 8 AM TO 4 PM <br /> _ c1S�3,�3 <br /> �; 1 ► Lc. l�: ���v`,�-� 'n;�k.� t�L,��1-�-, �.Ly <br /> PROJECT ADDRESS <br /> ' , � �-��r�;� �� ��� (aL�.����-�a <br /> � I'�(.S ��I l C r 1 vv� h��.'NZ �� State2ip �'o"e <br /> Owner Mail Address <br /> Tenant Maii Address <br /> ��, StalrlZip Phone <br /> r. '�leGfi-� � ,C� �g� r \ 'c I` 1 <br /> ' �..� � � I � `, �G�l��'l�l ��, U �ti': C���r�`S'� l ��. ����I���C ' <br /> �' . SlaterCip Phone <br /> EI ncalContractor MailAdA�ess Ciry <br /> �: C�3 3�—�c��IMr�l2eq�Gc�C�2C `� ��-,�`' �"1 .��J <br /> State cense Number <br /> Contrad Price of Work <br /> Proposed Use of Building Contad Person (Plan Review) <br /> Square Footage(If tesidendal new construcUon,ramodel o�addidon) <br /> DescriptlonofWorktoBaDone: ����1�� �L� �U11�n �,��r�� <br /> NOTL: WIRING IN NON-0WELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> f hereby certify fhat!have read and examined this applicaBon and kno�:�fhe same to be true and � a�' - �S <br /> caract. Al�p!ovisions o(laws and ordinances goveming this type of work wi116e complefed � � <br /> �vhetherspec�fredhereinornot. Thegrantingofapertmtdcesnot presumetogiveaufhorityto <br /> viofate ar cancel G�ep rovisions of any otl�erstate orlxaf law regu/atlng canstruction or the <br /> perlomiance of cons3nrction. That!am aufhorized by the ownerol this property fo perform the <br /> vrork for which applicafion fs made ond!compfy witli the State Contrncfors Law 18.27 RCW antJ <br /> 200 WAC. <br /> �� ,� ; —�ti� �1//� 1 � <br /> s � �� � o�a <br />