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.., .,. '606 CM aEATlr:G 07,24:19 a.m. 03-03-2014 314 <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 — vAmeverettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />03-D"3 <br />)Ll <br />12 Ra:► n►ex PN CI8'26i <br />PROJECT ADDRESS <br />-NoM ,fir, as aby-16e 425 ZA3 qy 28 <br />Owrer Mall Address C.ly StuleZp P^.c'rd <br />Tonart Mall Addwss City Stale/Z,p Phone <br />C 14 4ecc�' f4 Ina 146 6rcadwaV EVUE- i WA gB201 ►425 z'_)9 <br />Electrical Conlracto Mall Address City Sluletzip Phone <br />C FLEAMH9DI09 250 <br />Slate License Nurnbur Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />1l t�G�I7r may`o �nS5 �n�t <br />l_fV�1 <br />Description of Work to Be Done: 1 r IJ Iwl `� I W[�� <br />NOTE WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />1 <br />BE IN RACEWAYS, b1C OR AC CABLE. <br />1 l <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />i lioroby candy that I have reed and oxaminod Misapplication and know the sanno to bn true and 1_ <br />correct. All pmvislons of laws and ordinances governing this typo of work will be completed Q QV <br />l <br />whalhor spocihad horoln or nol. The granting of a permit does not pmsumo to givo nufhdnly to ' <br />vrolato or cancol fho revisions of any offrer state or local law regulating construction or the <br />That I by the this to the <br />parformanco of construction. am outhunted olrner of proparly perform <br />work for which application is rnado and I comply with the State Conlrac(om Law 16.27 RCW and <br />295. 200 WAC. <br />,t 1 -3,14 <br />blanaluru❑ale <br />i <br />