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�z� i. 2013 9:O7�M <br />No.6701 P. 2 <br />ELECTRICAL PERMIT APPLICATION <br />C17Y OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE7, EVERETT, WA 98201 <br />425-257-8810 - FAX 425•257-8857 - v�,�,�v.everetiwa.org �, p-7--13 � <br />APPLICATIONS ARE ACCEPTEp FROM 8 AM TO 4 PM � 1 J a�`� a S <br />y{7 1n)aoc�, PI� �le.�� q 8�� �� <br />PROJECTADDRESS <br />vlied� M <br />Owner <br />TCnan! <br />� <br />Elactrical Contraclor <br />MF�iI <br />Iduii Addiess <br />Mnil Addiess <br />C(1'1+4 - M EI �I OI C�q <br />Slalo License Nwnbe� <br />Pwpvsnd Use of OwlJiny <br />�oscnplion ol Woik to Bo Dono: <br />�,J�� <br />���Y <br />Clly <br />Ciry <br />Slale2lp <br />SIaIC2p <br />SIB�CRip <br />�_J• <br />Canlract Pricn ol Woik <br />Conlact Pcrson (Plan Rovi=w) <br />PItOfIC <br />('h0111• <br />Phone <br />NOTF: WIRINC IN NON-DWELLiNGS IS R6QUIRL•D TO <br />BF IN RACEWAYS, MC OIl �C CAHLE. <br />Ci7Y OF EVERh I1 LOCAL SALES TAX COD� 19 J105 <br />! bur�by c�rtdy f7iaf I have read and oxarrunoA this appGcahon and knowlhe <br />cc�iocL AU/�rovisiorrs o/laws and ordinancos poveming fhis 7YPo uf wotl<w <br />whaf4e� specihoJ boruin o� nof. 7ho granhnp ol � pnrnul doos nof v�sume <br />viofato or eentol fho I�ro�isions ol uny ofher s�afo or loca� law rugu�ahrr,y :or <br />peNonnanr.n Mconstrucfron. Thol l om nulhonzod by (he ownerollhis prup <br />n�oik �or whldr npplicofion �s mado nnd 1 compty wifh the Sfafe Controctors I <br />70G.200 WAC. <br />_ � �L• — � � .I..,/_ <br />Slpnalum pnlc <br />o ro nn buo and <br />r.ornplo(od <br />io aufhori7Y fo <br />liun ar fhv <br />o podorrn fhu <br />�0.27 (�C W and <br />FEE ���`, -•--- <br />V <br />��3o1-ozs <br />