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, <br />1�/29/2014 16:13 253-E31-7754 <br />� <br />F�RObIDE��;T ELECTRIC <br />• <br />ELECTRI�AL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everethva.org <br />APPLICATIUNS ARE ACCEPTED FROM 8 AM TO 4 PM <br />1235 �nbv��,,l,1.�,►� <br />PROJECT ADDRESS <br />PAGE O1/O1 <br />�1�ihm�i,�'I��-%urnes i4�foos�l1�cevr� �L�o��l��/t�-c� `�`IPP <br />�'�+�b Mafl Adtlres, City State/Zip P on <br />2�7.b�-��'�" <br />Tenanl <br />Electncal Contractor <br />�CV1�Ia3C � <br />Slate l.icense Number <br />Proposetl Use ot Building <br />Mail Adtlmss <br />tdeil Atldress <br />Dascription of Work to Be Done: � y�a � � <br />NOTE: WIRING IN NON-DWELLINGS IS RE�7UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Ciry <br />! hereby ceRily thot ! have read and oxamined this appliCation an0 kno�v the <br />correce All provisions ot lo�vs and ordinances governing fhis type o! work u� <br />w�hofhor spocified here,n or not The granfing of a permd does notp rosumo <br />violafe or cancel tho provisions of eny other siate or local law regu/ating con <br />perfom;anse ofconsfmchon. Thof I am authoiized by the owner oflhis proF <br />���o�l�_Wr �vhich appiitalion is made antl ! complv with !ho Stofe Contracfors 1 <br />� <br />Sfateilip Phone <br />�i y2�253-�031-?; <br />:.tate2�p Phone <br />CO3 nirac[ Price o( WOrk <br />� � V Ll�, ,�{� �. <br />Contact Pe o (Ptan Revlew) <br />to bo frtfo and <br />�mplefod <br />i aulhonry fo <br />�n or tho <br />perform the <br />27 RCW and <br />FEE <br />qD �v,o <br />