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L3/19/2�13 14: 06 253-631-7754 PF.OVIDENT ELECTRIC FAGE 02/02 <br /> I � <br /> ELECTRICAL PERMIT APPLICATION ' <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320� CEDAR STRGET, EVERETT, WA 98201 I <br /> 425-257-8810 - FAX 425-257-8857—�w.nv.everettwa.org ' <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � <br /> �g19 .ZST �L GJ � <br /> PROJECT ADDRESS <br /> I <br /> flLLrS{O o�.s 13.x��{yz�mrl Grc�,�s—G�YE/'qSaaZ 4zs-zCc8-9K��_. ' <br /> Owner Mail Adtlms: Ciry St�te2�p Phone <br /> len3nt MailAddress City Slate/Zip Phone II <br /> '�'�rsvl�.� -1•��';�►G�°�_�2Zbg7 C',avinnFon l�.kl 80�iZ ZSS-Co3t-775C� <br /> —�-- /9 --- - �� <br /> EledficalConl2ctor h1allAtldress Ctty SWtelZip Phone <br /> I <br /> ' ' `�v��`�`JG` Can;ract?rice of WorY. <br /> S�ate License Number � <br /> n s,�,1� Fa.,��lv rc5i�c,�-�c,c� �.�s- `"��----�' <br /> � <br /> Proposetl Use of iding Ccn;act Person (Pian Reviev+) <br /> Uescriptwn of Work to Be Dane: __ �-�V��S�' l�-w�� ^ � <br /> �/ <br /> -��l�� o r ✓�.�.UJ 5 � -� <br /> I __ �C.S�Nr�1GC� _— _ I <br /> I IJOTE WIRING IN NON-DWELLINGS IS REQUIRED TO F�E op I <br /> � �E IN RACEWAYS, MC OR AC CABLE. �� .� <br /> J <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � f hereAy ceRi(y that/have rcad and examined this applicafiai and knaw the same to he trve and i <br /> correct. Alf prnwsrons o(lan5 and admances,qovemmg this type of worA wiB be complef=¢ � <br /> ivhefher spec�ed horein or not. The granting o�a pertnd does nof presume to givo 3uthonty fo <br /> violate or cancel the provisions o!any ofher state or local!aw mgulafing construdion or the <br /> perfomiancr. ofconsWchan. rhetlamautho,dr.edbythnownorofthis propertytopeAarmlhe <br /> work/orwhich applic.:tion is made and 1 compfy�w;h fhe Sta(e ConVactors Law 1827 RCW and <br /> 296200 WAC. <br /> MAR 19 2013 '�, <br /> �e Date I <br /> � <br /> i <br /> I <br /> _ _. . — - --— _- _—_ . _ — <br />