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' <br />� <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br />ia�i7-+3 <br />APPLfCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM /' I��Z'-� g( <br />C: <br />9016 4th PI SE, Everett 98208 <br />PROJECT ADDRESS <br />Contact: Rick Kalamar/Windermere 206-226-6677 <br />OwnCr M1�aA �dC�ess Gny <br />SlatclZip Phonc <br />� <br />Tenanl �dail Addmss Cny Statr�%Lp Pho�u <br />Mana cell: <br />Cisco Electric, Inc 22612 92nd Ave W Edmonds WA 98020 360-618-3038 <br />tlecincal Convar.!or IJad Address Cdy Statc/L�p Pnonc <br />CISCOE1914DE <br />Slaie Licr.nsr Numbc� <br />residential <br />Proposed usc ot dw <br />N/A <br />Square Pootage (If residential nr_w consUu�Jum, remodel or addihon) <br />Descnphnn ol Work to k3e Uunc <br />$2,737.80 <br />Co��ireci Pncc o� Woik <br />Frankie: 206-595-6359 <br />Contacl Person (Plan Review) <br />Replace and relocate breaker panel. <br />NOTE�. WIRING IIJ NON-OWELLINGS IS R[QUIRED TO <br />6[ IN HACLWAVS. MC OR AC CABLE . <br />CITV OF EVE-RETT LOCAL SALES TAX CODE IS J105 <br />FEE <br />-�500 <br />I he�eby certdy Ih;rt I hnvr, read and examined lhrs appl�cahon and know fhe same !o br. Vue and -7 <br />cnrrecf All provis�ons ollaws ind ordmanr.es gnvr.rmnglhis fype ol work wdl be complefed � I i I� ' O�( <br />whefhcr specJir.d hmr.in or nof. 7he gr,�nhng ot a pc�md doeti no! p�esumr. !o give aulhonty lo <br />violale nr r.anr.el Ihc piov�s�ons o/any other slale or lor.al �av+re9u(ahnq consbuc6on or fhc <br />performance o/ r.onsfrucGon ihaf 1 am nulhorized by (hn, owner ol fhis prouerty fo oerlorm fhc <br />�i work tor wluch aPP���af�on is matle and I compty w��h �he Sfafe Con(raclnrs 1 aw 7N.27 RCW ano <br />' 796 200 WAC. <br />12/11/13 <br />s�q„�w,� uoi„ <br />