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Jul. 11. [Q14_j1 3)Ni,'�—Souad )ecur�ly Inc �Ju.;jll'�9—�'. i <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEfZ,ETT, WA 98201 <br />425 257-Ba10 - FAX 425-257-8857 r cJ,�w�.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />1� 3� R�vt�e.� �V_2 Bi�l�, � <br />PROJ[CT ADDRE55 --� <br />OHner <br />Atail Address <br />l�iYo�-4� �o�hr Al�a�m��exik �;rn�71e1� <br />Tenanl hfafl Aedryss <br />Eiectrical Conlrador n7aii ndarass <br />Soi�,�T i P ����D7 <br />State Liconse Number <br />A-Yx.���ti��+ ('o �p� e �c <br />Propos d Use o( Euilding <br />DascripUon of Wot}c lo Be Done: <br />� <br />c�ry <br />Ci,y <br />�c JP <br />Clty <br />SqtelZip <br />4tiy - <br />Stato2lp <br />i�7ol a�-� <br />Slatz2ip <br />�J� ► � `15 <br />Contract Pricc of Work <br />�Rn 5hr���' <br />Contacl PT erson (Plan Revicw) <br />Fhcnc <br />3�1� <br />Fhone <br />PpCO= <br />l�/ <br />NOTE: WIRING IN NON-DWFLUNGS IS R[QUIRED TO FE[ <br />BE IN RACEWAYS, MC ORAC CAE3L[. � <br />� D �� <br />CITY OF EVERETT LOCAL SALES TAX CODE- IS 3105 <br />I hereby cerfdyYhef I have reed ond cxumined fbis app6caGon and know tlie same fo De frue end �/' �(� � D�(�{ <br />correct. Aq provisions of faws antl ordinances yov�ming this rype of �vork wdl he complefed (�j '-1" � J <br />whother speci�etl hereln or not. Thr. gnmGr�g ol a permrt does notp resumo fo qive eufhonty to <br />violafe or cancel the p�ovlslons ol �ny ofher sfufa or locallaw rogu/atinU construc0on or fhe <br />performance ol constn�eGcn. 7hAt I um authorized by the o�vner of tNs properiy fo pMorm the <br />work for whlch applicsGen ir rnaJe and 1 compty wdh fhe Stete Confroctors Lmv i�.2 � RCW and <br />y ..�y„a���c • � , ua;e I <br />n .. ^ — . <br />:� . • <br />� c"� _� . � f "�d-� _ .—. <br />—`�'���`_-•�-�------ � ,,. <br />U <br />