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Dec. 23. 2013 9:OOAM No. 3117 F. 3 <br /> � ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERET7 PERMIT SERVICES <br /> 3200 CEDAR STR�ET, EVERETT, WA 98201 <br /> 425-257-t3810 - FAX 425-257•8857 -www.everettwa.org <br /> APPLICA710NS ARE ACCEPTED FROM B AM 70 4 PM �' ��v�� <br /> �1312 �lN� <br /> l� .. � !'�an.rL�.rt� �VE� ��/�de� �� ��lZ� �, <br /> PROJECT AD�RESS I <br /> /flu..(`� [i���/STrei� /2 F �ar'i�µ G 1/GY�� W�i' � ! �Z D�" I�� <br /> OWnef A1ailAddress CAy Slate2ip Phone �, <br /> Tenant htellAddress City StelelZip Phone �I <br /> �S �e z oa ��S l I�as� 0�ro ' ����25'z-Yio2 <br /> �''c"''\ s� P► �/{9p'Q`�27 2 — <br /> E�acinG"i ConiraClof Mail Addmss Clry SlatefZip Phone j <br /> �-5/��a�� �'39 nK ��y`�-� lroa <br /> Stale License Number Contrncl Price of Work <br /> �B�''"�.. <br /> Proposed Usa of�uilding Conlact Person (Plan Review) <br /> DescripUon o(Work lo Be Done: ��U" �0 �'►'�I 1� �!�G�.V /F!T-� l7G� ���'IN <br /> NOTE: WIRING IN NON-DWELLINGS IS REC�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �O� <br /> CITY OF EVERETT LOCAL SAL[S TAX CODE IS 9105 <br /> I heroby ceAily thaf I havo ruad and examined fhis application and know fhe same fo be true and 7 / <br /> conecf. Alf p�ovrsions o/laws and ordinances yovommg this type o/work will be comple(eJ �I .�I � ' I � lQ <br /> whefber specrfretl hercin or noL The�ranfin�o!a penmf does not rns�me ro yivy authority fo <br /> violotr. or cetteel the prov/sions o1 ony other stefe or local law mpuPling constn�ct�on or(he <br /> pedormence a/conslruction TAnf 1 mm�ufhorized by fhe owner cl lhis property fo poAomt Ihe <br /> wodc lor which 3pplicntion is mGdC antl 1 comply NiifA fhe Sfnfc Contrnc(o�s Law 18 27 RCW and <br /> zsc.2oo wnc. <br /> Signaturo Dale <br />