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Sep 20 2070 11:OSHM West Seattle Furnace 206 935-U735 p.4 <br />f <br />ELECTi�ICAL PERMIT APPLICATION <br />CITY OF EVERETT F'ERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX425-257-8857—wv�rvv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />q� l � a-�� ./�,�,��. v� <br />PROJECT A�DRE55 <br />Owner <br />Tenant <br />Eladrieal Con[roctor <br />Mell Addreea <br />.Fir�r•r.�m <br />City <br />Gry <br />� <br />Gry <br />�-e.�.�l-� a �`�-1 '2� <br />Stale Llcenso Number <br />J .` ! l'�.� Jl' ll/,; �1 /l �� ;' %. '/"") ,�j� <br />Proposed Use of Building <br />ol Work to Be Dono: <br />L <br />SlsW2ip <br />SlafdZip <br />SteDOJZip <br />Phone <br />a��.� yha�. <br />3b0. <br />ConVact PMce o( Work <br />�.1►'�-�- <br />Contect Person (Plan Redew) <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LO.^.AL SALES TAX CODE IS �106 <br />! haroby corNy fhat lliave mad and oxnmlreo N�is appficx;ion and know tho same fo bo true and <br />conocl. AU provisicns ol/aws ond wdinances govemmg this typo cl�5rork �tidfl6e completed <br />�ti�hetherspeci5ed hereM ornot. 7re qr�n,hng ola pemul doe•s nof presume to g/ve au(honty to � ��1(�� - � �(,� <br />vlolate or cancef fhe P�ovisions ol any cther slate or bcal law regu/aNnp construc�ion or the <br />por(omtOnce o/mns luCion. Thaf 1 mm �ufhonzed Gy t�o o�moroffAfspro perty (o porfom�� 1he <br />n�` rk /or wh/ch ppplicefion rs maUB end l comply wifh Mo Sta(o Confrocrors Lew 78.27 RCW end <br />79F 9(10 lA!4C <br />`� <br />P�ono <br />