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Feb. 6. 2014 9:40Ah1 No. 1166 P. 3/4 <br /> � <br /> �`—_. <br /> ELECTRICAL PERMIT !♦F`�LICATION <br /> CITY OF EVERETT P�RMlT SERViCES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257•8810 - FAX 425-257-8857-wKnv.everetfwa.org <br /> APPLICATIONS AR[ACC[PTED FROM 8 AM TO 4 PM a �G�� !� <br /> y <br /> Gi uaa—�33 <br /> �81� �Irn St �veXG�P q&2.d i <br /> • PROJECT ADDR[SS <br /> .� .�°a+�x� K�Gnnn�t �uv�, ��, t�.�ir.N�, �125�2a �.,��9� <br /> Owner M17ailAddrC56 Clty Slnle2�p PhOnc <br /> Tenant Mdd Adtlm55 � Clly SIa1MZip phone <br /> ���r� Inc �4►� g►�d�:t�y Eve,�c�h ���A 9�2p i �i25 'z`39 (�1�1�G� <br /> EleefriCal ConlractOr r Meil Addiess CIIy StalelZ�p Phone <br /> C����4c�MNqvi �� z5o � <br /> Stale License Number Contracl piice oI Work <br /> Propo�od Use of Build�ng Conlact Pnrson (plan Revlew) <br /> � <br /> DoscripUon of Work to Be Oone. ��L �,/0 , (����i(,1,__� � •S�t . <br /> —�--r--.r���� <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> �E W RACFWAYS, MC Of2 AC CABL[, <br /> �JO� D(� <br /> CITY OF EVBRETT LOCAL SALB3 7AX COUE IS J10G <br /> I hnroby certily fhat I bave read and oxnminod lh�s applica6on ond knu�v(nu ;nmu Iu ne wo nnv � <br /> corrcCl. All provi5ions al la�vs nnd adinancos povominp Ihls typu of wnrk:vill bn cnnrplo(UU � I c.�o�_D 3 <br /> whether spvcrliaU he�oirr or noL Tho qrunt�nq ol o pormd dnr.s not prosumo fo g�vo aulhonty(o I <br /> �iola(o ofCanCel(ho pioviS�ons olany Otltors(olo orlocallawmqvlafiny c.onsbucfion oi thp <br /> Redwmanco o(consliur.flon Thaf 1 am milhonzotl by tho owncr o!(his/»on��Mr to�odo�m rnu <br /> �vork(a�vhich epp/(��hurr is mUJo and I r.omply wdh(ho Sfafo Conl�c(ors 1 aw I(J.27 RCW nnJ � <br /> 2Dfi200 WAC. <br /> I ��'<((�,�(�� � <br /> S�gnnlure�L Uul��----- -- <br /> �� <br /> �__ , <br />