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01/15/2013 TOE 14:45 PAX 206 763 9064 taucak Tukwila <br />ELECTRICAL PERMIT APPLICATION <br />14001/001 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 _ 1 5 -13-,G� <br />425-257-8810 - FAX 425-257-8857 —www everettwa.org CI3'01_ a / <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ND S�F PROJECT ADDRESS <br />Mall Address <br />Mail Addreae <br />City <br />City <br />StatalZip Phow <br />Slate/Zip Phone <br />13c)1S�i.a>ti!,/��()� 755tr�� L'.'1.1A 9'�/� Zo(, 35� 7Yo5 <br />Electrical Contractor Mall Addreme — City State/Zip Phone <br />t14'A0 <br />late License Num ar donuact Price of Work <br />Propose se of B I ding Conto t Person (Plan Review) - <br />C9I/ f A yO .J Aof"e-&'j '♦!0-'4 <br />Description of Work to Be Done: 7� ,Trd64 AQ.) Volr SOJ.-e.j SY S/e�.k��S�C�i%Cn t sou j✓ <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />I hereby certify that I have read and examined this application and know the some to be true and <br />correc . All provisions of laws and ordinances goveming this type of work will be completed % I 0 0 7 �} <br />whether specified herein or not. Tho granting of a portent does not presume to give authority to t__ [ / <br />violate or cancel the provisions of any other state or local law rogu eking constNucfion^r�r the tie <br />✓r /J <br />