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Ocl. 24. 2013 3: i2FB1 1'0. i1;71 �. i <br /> ELECTRICAL PERMIT APPLICATtON <br /> CITY OF EVER�TT PERMIT SERVICES <br /> 3200 CEDAR STREET, CVERETT, WA 98201 <br /> 425-257-6810 - FAX 425-257-8857—�,w,nv.a�reretriva.org <br /> lo �a6-� 3 <br /> APpLICATIONS ARE ACCEpTED FROM 8 AM 70 4 PM � �� ID� � <br /> 1�a17_ ,nlv�n,blr� C �- �'.l �t �2�3 <br /> PROJECTADDRESS <br /> m�al 1�1�11 hol lav�{ ��� � ►�25 z � 35tp i <br /> Owncr �nai1 Addresc <br /> CitY Stato/Zip Phone <br /> Tenanl A1ai1 Addreas Giry Slater2f0 �hono <br /> � m �k�na In� ��+« g►�d�� ���t wa aa�� ��z5 �Zs� �:c��� <br /> EIccU�cal Contracto� r_� I,tatl Addcess <br /> Cily Slalc2�p Phonc <br /> r� <br /> C�1'l�F��qDlq9 2Sa <br /> Stato Licenso Nwnber Contracl Price ot Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> �escription of Work(o�e Dano: h I ��_��n� ��$__u�_� <br /> IJOT[� WIRING IN NON�DWEI.LINGS IS RE�UIRED 70 �E <br /> BC IN RACEWAYS, MC Ofi AG CnBLE. .�y�� <br /> CITY OF EVER[TT LOCAL S�LES TAX CUDE IS 1105 �� <br /> I hereGy cerfily Ihaf I havo ioad and oxaminod fhis apqlicnlion antl know fho somo(o he huo and r <br /> conoct Atl provisions ollaws und ordinoncos,ynveming Ihls fype ol work wdl Ar. comploteU �/ (7��O .- 'Z O I <br /> whethrr sp�cifiod hcrnin a nof 1rio gi�infiny afa perrmf Uoos no( msumy fo give Qufnority to l� � <br /> vio�a(o or cnnCo!Ihr.PrOvisions ol�ny ofhor sfolu o�locol!uw�epuP(ir�ypconsf�uchon o�fho <br /> �o�k loiavh cA nnplica(io�n IS miUo and�l co�n�Ply eJlh(ho Sfofo�Conl/o�CfoisnLaiv 18�27 I�CV✓�snd <br /> 79G200 WAC. <br /> � "-- —`==�--- <br /> �,,�?bLi L��1i,t�h (' �.� <br /> � <br />