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�2/NE�/2013 08:32 20678�13Ca3 OLSON ENERGI' PAGE 03/03 <br />ELECTRICAL PERMIT APPLICATIt�N <br />CITY OF EVERETT PERMIT SERVICES <br />320G CEDAR STREET, EVERETT, WA 9E3201 <br />425-257-8810 - FAX 425-257-8857 -www,everettwa.org a-�`� 3 <br />E13�'�� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �' <br />- � . ._ <br />� � � <br />� .-_'. _ _.. -ti <br />, �' '�� � <br />�(a�9 /I/I�.1��� ; l P,-� vt�,� ,� ' <br />PROJECT ADDRESS <br />Tenant <br />G'r/l��t/ !�l s�2 rG'�'' ,oz. c✓ C,�h���a� <br />N1ail Address ���y <br />t�Apil AtltltESS C�tY <br />_ _ , . . . . _ i .�, /if <br />Contfactof"" M1tailAd:7ress <br />��S�sa,M�r -- <br />State Licenso Nurnber <br />Proposed Use of Building <br />Ciry <br />'7 Y"i - <br />'f�05 �_ y�3_ <br />SWte/Zip <br />State2ip <br />51ate/Zlp <br />d <br />$ ��'v <br />Contract Price of Wo;k <br />Contact Person (Plan Review) <br />Square Footage (If residential new construction, rr.model or atldilwn) <br />7 rL/�,� <br />Description o( Work (o Be Done, / L��(if��� ��+2R(.c i�M.� ^/�/iY-un� �Gi �� �i �L <br />i <br />NOTE WIRING IN NON-DWELLINGS IS R[QUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLF, <br />CITY OF EV[RETT LOCAL SALES TAX CODE IS 3105 <br />PhonC <br />Phone <br />Phono <br />7 —�� <br />1 hereby certify fh�f I have rcad anU exemined fhis applicahon and know the snma fo be true ond <br />cormct. All provisions ot la�a�s and ordinances 9ovennng this type of work �vill Ae compreted i� <br />whethers ccrtev hercin qr not The �ranfinp of3 pennd docs not resumo to grve outhon to " �� <br />viroafe orponeQl the provisinns o/ any other stnfe or loca/ lew r�guPfinp consfn�c(ion o� the i{ � � �� <br />n�Nonnance �I ennslrUcfinn. Tlru1/ urn numon;ed Gy fho owner o(fhls propCRy to peAoln7 fha <br />:+�ak tor which applicotroir is mode and ! Comply wrth �he Sla(e Confracfors Lak� 18.27 RCW and I ' <br />25G.200 WAC. <br />Si9na W �e �ate <br />