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AUG-3�-2013 e6:�2 From: To=257L�57 Paee: l'I <br /> • —`---� <br /> � ELECTRICAL PERMIT APPLICATION <br /> CiTY OF EVERETT PERMiT SERVICES <br /> 3200 CEOAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —vn+nv.everetiwa org <br /> APP�ICATIUNS ARE ACCEP7EU FROM 8 AM TO A PM <br /> 0 3 � fc��n�r �v� <br /> IPROJECT ADDRESS �2� <br /> Pl�h.c,��P�5�2� � �.1 Z59"�� 72 <br /> � �ti+ ar � htad AdCrese Ciry Siaio2�V Phnne <br /> �ant �.���i ndoress Cny S�a�e2�� °no��e <br /> ��o��-r�1 ���i� ���� 1 �'t.�.c�rr� fv�c :�- UJ� �iB 70► `�a -.��� 36� <br /> L-IectncalContractor h1al�.acaress Gty Stale2p phone <br /> � So�zTP x���'D� � �, �o � <br /> State L�r.ense Number Conlracl Pn�e of'niork <br /> ��i�V��_ �-�h�� <br /> Propos d U.c of�uildiny Contact Person (Plan Rev�ew) <br /> Des�ription of Work to Be Done: �t�J Y O I�u�}� ��-1����5��� <br /> � _ �_Cov�.��'3 /� , �C,e s - <br /> -PV � �---- - <br /> N0T6: WIRING IIJ NOtJ-DWELLINGS IS REQUIRED 10 FEE <br /> F3[ IN RAC[WAYS, tdC OR AC CABLE. <br /> � O� <br /> CIiY OF EVERCTT LOCAL SALES TA% CODE IS3105 <br /> I herr.Ay cerfilp fhat 1 h�vo�cad tmd exarnined flns apphcation and know Ihe s�me io bo hu�i ond .� I 3 � g— rg/^ <br /> COrrecf. All pmvisrans o!IewS Bntl O�dindnC05 oovoming tfus typu of ivo;k Wdl D9 canplotcO �C.J <br /> w�heLher spoci6od hbrein o�not P�e q�anlinp o!a pormrt does nu1 presu+ne to givo aufhOrity to <br /> wolale or cencel the pro�1510��5 0l any ofher..ln(e orlor,aFlr�w repulalin�rons6ucbon o�the <br /> ne�orrnance ol consfrur.bon. That 1 am authorired by fhe owne�o/fhis property to perlorm Ihe <br /> hvaY(0/whiGh�pplic�i(iUn i5 i�/8dB antl I cU�tply wi(h fhC 5fOfC CUrttr2 (ors Law 7ft 77 RCV✓ontl <br /> 2962 WAC. <br /> r� E�L�,�/�� i � _ <br /> ign�luro �� <br /> I ��,a�t�L' cc-�-� 4 2.S 1� 1 - �5�l <br /> . . <br /> ___��-1 c�"1^ �P.f�' Clt�vY�" �A,�k�(ti --___.i__ <br /> U <br />