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Jun201112:26p MaxTechnologies <br />� <br />206-682-1218 p.1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98207 <br />425-257-8810 - FAX 425-257-8857 — www.evereltwa.org 6�� �—�/ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�aaCF Na�� Av�uc. L.v�r�;r w� ��a�� <br />PROJECT A�DRESS <br />OWf1Bf <br />Tenant <br />I�? <br />►J ii�iH sr.,sc��r'E io5 ��t'r�. <br />MOiI Address <br />'�'��Li-� � n� <br />Mail Address <br />� 1'yTA�ES. <br />Eleclrieal Conlraclor h7ail Address <br />c�3 000 � R � <br />Stale License Number <br />3v5��cs5 <br />Praposed Uso of Building <br />City <br />Ci�y <br />Gty <br />G 1106`« 5 <br />• ' i <br />Statt+Rip <br />Slale2ip <br />StatefZip <br />�ROoc� .ca� <br />Conlracl Price of Work <br />�11L �UP-IC�1.�'lw` <br />Contacl Person (Plan Review) <br />Ptwne <br />Nnonc <br />Phonc <br />DescriplionoiWorktoBeDonc: GOMRUTF�C. /k)5 �t'.L�1��-bl.)ti- ���L1A5[� FlL.���� AV�I(� <br />,Q}�i VIDeD W�iL��.Yy r('>� S+��t'_D Al�b V�SLb �T4L_t`_�l�`.�IOI.� �'/-'�U�PME�1 `_Y_ <br />�O�R�� Fc� �S�3z,t.-c a�b �v�iz�S�o,J �Ss �r� <br />NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />! he�eby cnrtrly tha(1 have read <br />corrocl. All provisions oJ laws � <br />whefher spedlied hercin or nol. <br />violafe or cance! the provisions <br />peAcrmance o(construcLon. T <br />work lor which application is m� <br />79fi.200 WAC. <br />7his applicalion and know lhe same to 6e hue and <br />governing this typc of work wil! be complefed <br />�(a permrt docs not prvsume to grve aufhonty fo <br />3fe or local law regulating consfrucfion or the <br />ized by fhe owner ol fhis propeNy to pedorm Iho <br />y wifh the Stale Contreaors Law tt3.27 RCW and <br />(,�-oi�- o-i�l� <br />FEE <br />Ello�-I�S <br />