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03/19;2013 xue ti:ac r�x <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 —�wnv.everettwa.org <br />APPLICATIONS AR[ ACCEPTED FROM 8 AM TO 4 PM <br />��� V� 00 Gi 1 Gt,� n i� V� <br />moozioo� <br />3 - a-o`' 3 <br />� �3o3-I� <br />, ,..,���. ..__ �{25 :, : � <br />Annc�To�ino °�UN �,1T��I �., ,�n HY2 Ev��7.�-I--�- ln)A�°v2a3 �� �5 <br />Ownef tdail A�Cress Cny Staterip Phenc <br />1� <br />I I ♦\ � � �� I 1 <br />Tenant � ���� <br />AS y � <br />Glearical Centractor <br />hlail AJtlress <br />Mail Adtl:ess <br />�-S Yo ��� �1?� �f r� <br />St3le License Number <br />�PS�� dC��t�i c�l ��.e.G+�2-tCc�\ <br />Proposetl Use of Building <br />Square Footage (II residential new conslruction, remodel or adtlitionj <br />Ci;y <br />Ciry <br />Sta1e/Z�p Phone <br />� �p � <br />Slale/ZiG Phone <br />`� � __� � <br />Contract Price ol VJork <br />,f� n M tN1 G�-� � <br />Contact Person (Plan Review) <br />I Description uf Work to Be Done: 1 V�C UL� _�-1 O v ��� "�- y 1�v�� I� � . <br />1/�-2 G����-1 v�� �� -�- 12� �I � 1� c� G1 ���e_,� ��-}— _ <br />�X-� ��ns� c�� -�� C� i C� � <br />I NOTE: WIRINC IN NON•DWELLINGS IS REQUIRED TO PEE <br />iBE IN RACEWAYS, MC OR AC CnOLE. �O Ol�� <br />I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />y ceRdy thaf 1 Yave �ead antl examined fhis appiicafion and Fnow fhe same (o be frue antl r I� D� l��� <br />. qil prov�sions ollaws and ordinances governm� this type o( rork v�ill be complefetl {— <br />r speciGed he�em or nuL 7he granting ol o permd does no� pms�me to giva authonty fo I� <br />or cancel the prov�siuns o! any other sfate or (ocal law re9ulating ronsWcfion or the <br />iance oI construcfion. That I am authori.ed by the o�rner o! fhis proFerty fo peAomi the <br />� �vhich :ipphcalien is +nade and I comply eafh tho Statc CJntractcrs Law 18.27 RCW and <br />��l �al �� <br />