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FED/27/2013/WED 10:22 AM FPI Seattle FAX No.4252909600 P.002 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — yr vw.everettwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />?-Inq �- kWr-e_4VnaI\ Wos(_ <br />PROJECT ADDRESS <br />Owner Mail Address City state0p Phone <br />Tenant Mail Address City State/zip Phone <br />Electrical Contractor Mail Address City State2lp r4.L5 Phone <br />zgo-g boo <br />F t t�ZEPt'�oZ1ML. <br />State License Number Contract Price of Work <br />Proposotl Use of Building Contact Person (Plan Review) <br />y . Soo <br />Square Footage (It residential new construction, remodel or addition) <br />Description of Work to Be Done: L rNw k. I nk+ aq . Fl re_ Aka.,ryr. ' xS x *^ <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR At, CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerfify that I have read <br />acf. comAll provisions oflaws a <br />whether specified herein or not. <br />violate or cancel the provisions <br />ochlictoisperformance <br />rkforwhia application me <br />296.200 WAC. <br />this aonlication and <br />'I-L1 l \3 <br />and <br />Q\,r- P r_y n-VrN+*'rn <br />�v�► <br />• yZ� - -L`jl <br />gk000 <br />