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12/25/2013 21 18 k3836 P 001/001 <br /> ELE�TRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMiT SERVICES <br /> 320D CEDAR STREE7, EVERETT, WA 98201 � � �;Z6 —!3 <br /> 425-257-BB 10 - FAX 425-257-8857—www.everettwa.org ��3�� _�b Z <br /> �f L� <br /> ��a��� .��ti p�- ,�-� <br /> PROJ�C7 ADDRESS �,�1�� <br /> 1��u�-,��- p���.��. F�oz ��►���� P�� <br /> pwnft Mail Atldress Ciy S1ale7p Phane <br /> Tenant Mail Addrnss �ilY S�a�rJZ'P Ph°"° <br /> ���, �P►s Gr� aar �y�q rEb�' �'�al �/2� �.� l 2��/ <br /> Glectrical Convactor Mait A4dross City statc2p Pnme <br /> ����s.s � �Z L� <br /> S'tate License Number �— ConVa�Price of Work <br /> Proposed�ing Confoet Persan (Pian Review) <br /> Squale Footage(It�esidenGal new conslruction,remodel or addition) <br /> Number o(devices(I(low voltage) <br /> N ,, I <br /> Description oi Work to Bo Done: ^�lr�___[�p�j�C r /L�-, / _� e�/�� <br /> FEE <br /> CITY OF£VERETT LOCAL 3Al.ES TAX CODE IS 310b �O �_ <br /> 1 hereby certily that I have read and exnminod fhis applicdfion ond know Iho same fo Do�n.o and <br /> cronecf. AfJ prov;sions of laws end ordinancns povaming this rypa ol wo�k will Ao cempfefad <br /> whnthoi spcc�frcd heroin or noL Tho pranting ol e permif dooa not presurtw to prve auMorty ta p[RMI'T';q <br /> yotafe or cencol fho provis;ons of any other smlo orloca//aw roguloCng consYrsrdion or Mo <br /> portamance oJ con tion. Thnt!am authorizod by Uro owner dthis propeM to�wrfurm!ha E � �j � a , � 6� <br /> work lor which ap Uon is mndo and 1 comp�y wrth Iho Stete Corltmctors Lnw 18.27 RCW end <br /> 296.200 Wi1C. <br /> /z y <br /> , �e <br /> V15ED NN�J <br />