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'OK/2II/20i4/S.al 08:�4 AN Greenwood Heating FAX ho.206 46�[16 <br />• <br />F. 001/COl <br />ELECTRICAL P�aMIT APPLICATION <br />CITY OF EVERET7 P�RMIT SERVICES <br />3200 CEDAR STREcT, EVERETT, WA 9820� <br />425-257-8810 - FAX 425-257-8857 — www.everetteva.org <br />APPLICATIONS ARE ACCEP7LD FROM 6 AM TO 4 PM <br />1 �2r� w /�'1�I ki+�c, �l u�l <br />PROJECT ADDRESS <br />�� ► �� y <br />� 40<6�� 9y <br />v <br />� <br />�nn � 5+���-� ��Z� wM�fk��-� blvd Ev«�+f-wA �+g��� �3�g`+ <br />Owner hlaa ACdres� Gty State2P Phone <br />Tenant <br />�� <br />raa�i ad�ress <br />Contracror �a�i nCcrass <br />Nsyou u,�q zsNM _ <br />State Li ense Number <br />SF(Z <br />Prppos0tl Usf Of Budtl:ng <br />G�ty <br />Gb <br />$la1PlZ•.P �hOnC <br />SIBt�P Ph�nE <br />�� S Z <br />ConUact Pnce of Work <br />�'1-f-hon Dc� i r <br />ContaCt Per,on (Pla fteview) <br />V �� <br />Spuare Foo�age (If �CSi0e0tiBl naw construc�ic0, remodei or aomuo�,) <br />�escriptio� of Work lo Be Oor.e: �1 C'�i CI e l�`CLI 1� {�� I�C' 1�/ atf�1 l� <br />NOTE' WIRING IN NON-DWELLINGS IS REQUIRED'TO FEE <br />BE IN RACEWAYS, �dC OR AC Cl1t3LE. /j <br />' ��I il -�� <br />CITY OF EVERETT LOGAL SALES TA% CODE IS 1105 <br />I hvroby certily that I have read and eramired fhis applicafion and know tho same fo be tnle and ��`/ D�_� n� <br />correct AI� provaions o/laws and vnifnances govo���r,g th�s typ^ ol work Wil1 bB COR�pIOtBtl lif" N <br />whother spec�fied horoin o� nof. Tho pran6ng ol e permrt does npt p�esuma to yive autboMy !o � ( <br />v�olAte o� r.ancel the provisions o(any othei stato or locellaw regulehng ConSVuctwn or f�e <br />peAorrrance ol COnSVUU�on. That 1 am authoriled by fho o�+'»Br ol fnis property to peAorm fhB � <br />wOrk !Or w�ich BpplicUtion IS /172d0 B�d / cOrtiply Wifh fhe SfdtB COnt�ddOrS Ldw 18.27 RCW dnd <br />