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nY�;/p8/2013/t,10N 09:16 A!,1 FPI Seattle ;r.Y Nu. 4252909600 i. "��': <br />i <br />I ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR S7REET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br />_�i�1 '�a^�i`i�. Q..2\ <br />PROJECT ADDRESS <br />�►.�.�� C�n1c '� t�� i�' � � uc, zA ► e �oo{= `�' S�J 2�u�e,-l�', �4 �r��l <br />Ov.�ne� . Mnil Adtlress Cily Sla!efLip Pnone <br />CwY,-, (oe#� C.v�S�i. � N�.T'il b101 � A� �aJ �2e1 `C,.wa�" c,s� 4.�5 z�3 <br />Tensnt Mni� Address C�ry State/Zip Phone <br />��ce_ ��rbl^�ei��n� 3�nc. 170 �DX 1Z�oLlZ, l�h�aa� �l..l`�i �50�- <br />I EIOCtnC21 COrllfactar Msil Address Ciry State2ip �j'hone <br />, 1-lZS- Z�o• -�'ybc0 <br />F ��ZG.P�'�oz�1m� <br />Sl2le License Number <br />C,o.Y,rn e.cc.el � Wc.,�e.1�v��- <br />Proposed Use of Building <br />Square Footage Ot resideniial new construclion, remodel or adtlition) <br />�3,500 `"' <br />Contr2ct Price of Work <br />�b vw...�� <br />Conlact Person (Plan Revfew) <br />Description of Work to 9e oone: �-..�1 U(�%�'�� �\ �l't. N—� ^� v+� M'��T_. <br />o-� �,r.s�1 a�i�x. cw �'�z,-.�- ", �-�D�r�e,.fi . <br />NOTE: WIRING IN NON•DW[LLINGS IS REQUIRED 70 <br />BE IN RACEWAYS, MC OR AC CABLE . <br />! cITY OF EVERETf I.00AL SALES TAX COD[ IS 3105 <br />1 horeby cerYify that I bave �ead and e.ramined fhis applicatron and F:now the same ro be trun and <br />correct. All provisions of laws and ordinances gocernmg this type o/ c�ork v�i9 0o complefetl <br />mhn(her specdied herem ar not. rhe granting ol a pemuf does nof presume to giva authonty to <br />viofste or cancel fhe provisions ol any nther state or /ocsl /aw rugulaMg COnSfNCfIOn Of fhe <br />p�Nonnanco o/ constructioa That 1 am suthonzed by the otvner o/ thrs propeny to parfomi the <br />wurk !o� uhich appliCdti011lS R18dC alld I Comply u�ith tho S�atB CO�fI7Gfors La�:� iF3.2% RCW snd <br />29 E200 WAC. , <br />��TS�tZ. <br />FEE <br />G �� �� �; <br />� � �� C �+ _ �" C ' c <br />�P��7�L C9.�� <br />o�-�' o��c� <br />k�X P 47.1 YMQ..K��" a(- <br />�z�'- zgu-qboa <br />_,A,iiY, <br />I�b��y <br />