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06/04/2013 13:0� 25�-631-775d PROVIDENT ELECTP.IC PAGE 02/0^ <br /> — --- � <br /> I <br /> ELECTRICAL PERMIT APPLICATION ' <br /> CITY OF �VERETT PERMIT SERVICES , <br /> 3200 C[DAR S7REET, EVERETT,�NA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org I <br /> I APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM I <br /> � -- — - I� <br /> �(2 I � P� W t�Z�(: 2.Z <br /> PROJECT AOORESS r ' �yI ! <br /> L"f��.`�`-Y�l � <br /> �Qg�_�S rv� �l� "Po v�sc 1442�- ��IU. L2��- �Q ? <br /> Owner �Aail Address Clry S4drJlip Phone <br /> Tenant Mad Addmss Cfty SlatdZip Phone <br /> p�D�_�I��L�nZL_��Dx 7�'s"I Cov�NtjtDt���,4�8l�12_���?sa <br /> ElectriGalCon[faRor MailACdress Ciry S[atNZip Phnne <br /> � � D �-�C/� __' <br /> State License Numner Contract Pnce of Work I <br /> Proposetl Use ol Buildinc� C�d PersoF n (Plan Re'��ew) <br /> Descnption of Work[o Be Done: /�ll.�"[!V�f S�V 1 G�-�.��11�� <br /> NOTE: WIRING IN NON-DWELLINGS IS RECUIRGD Tn F�� <br /> BE IN �.iACEWAYS, MC OR/1C CABLE. <br /> �C C� a—� <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> � I hamb cefif,�fhat I have read nnd examined this applicaVon andY.now the same to be 6ve and � � �/� /� � <br /> � correcty A!I pravisions o!la.rs and ortiinances,qovommy tfvs type of vmrk�vill6r�vmpfeted �-� ' J L"��� �-'I-� <br /> �vhother spcafietl herriin ornof. Tho gmn6nq ot a permR does nofp msume ro givo authonry!c I <br /> violafe or cancellhe nrov�sions of any othorsYato w local la�v regulahn9 conshuction or tho <br /> pe�ormance ot cons(n�cGon. That I a.n authenzed by rhe o�vner o�ttiis property to perform fhe <br /> �vork lor whlch appl;caGbn is made ond!comply�vi'J�fhe State ConGac(�rs Law iR27 RCW and <br /> .96200 l4�il C. I <br /> -r"Tynalure� ate � ��—' <br />