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FEB-4-2013 07:02R FRDM�PROFESSIONRL ELECTRI 360 435 1182 T0:4252578857 P.1�1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> :^'10 CEDAR STREET, EVERETT, WA 98201 <br /> 425-2t: -8810 - FAX 425-257-8857 —www.everethva.org <br /> APPLICATIO�S ARE ACCEPTEp FROM 8 AM TO 4 PM <br /> .3S"�S .S �o i t f��.c.. <br /> PROJECT ADDRESS <br /> �n i•tshc 3.f%J'� .5���.-r /�..e "O'Y �/"c'� <br /> Owne Mall Address Ciry S�ate2ip Phono <br /> '� Tenant Mail Address Ciry StatelZip Phone <br /> �CO <br /> �.�eS'1"/b� �l �/4 � POli .��/'3 f�l/ � �-, d6;14� 9J'�]!3 ��•�=61 <br /> Elec�dcel Conlrector Metl htltlrass City Sleto2lp Phone <br /> f'�' �f=�E J'� 7 7,�-�4 <br /> Stnlo Liconse Number Conlroct Prico of Work <br /> �/ny /� t-a'r. l� ,��Jiv��'y� <br /> Propased l�co of Buildlnp Cantoct Person (Plen Roview) <br /> ��� o� ? <br /> � Squaro Footepe Qf rasidentiel new wnslruclion, romodal or addilion) <br /> ' Descriptlon of Work lo Bo pone: _ ��� ^ •^� G�� ���v ��.j �c f i..,c F <br /> NOTE: WIRING IN NON-OWELLINGS IS RCaUIR[D TO PE[ <br /> BE IN RACEWAYS, MC OR AC CABLE. � —� �� <br /> 1I I CITY OF EVERETT LOCAL SALES TAX CODG IS 3705 ' `� J <br /> . I hereby ccrtily that 1 havo rood nnd aroqilned fhis applicntian and know tho snmo to bo tmo and 'nOG <br /> conecf. All prowsions ollaws�nd oidinnncus yuvdming Ihis typo ol work will Uo cOmplo(Od '� � �� <br /> wholher specified horoin ornot Tho grapfing oI o permd doos not msumo ro givo aufhonty fo � .. v � � <br /> � viofn(v or concol fha p�uvisions ol�rry uflim s(afo urlocollaw roguPating construction or(he <br /> . pedonnan.:o o(cor,strucflon. Thuf 1 am Quthorizod Uy th�ownoro/Ihis proporty fo podoRn(ho <br /> �vor�c lor wldch upplicn�ion is rnado nnrl l comply vdth�ho Stato Connactors Law 78.2!RGW end <br /> 296.200 WAC. <br /> %,�2a �_ �/—�-d/:3 <br /> �'� �—�a Dala <br /> I -'__�___—'.'_____ "__ -- <br /> I "__-' ____»—_____._'_._ <br />