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NOV-13-2013 WED 03�53 PM Prime Electric FAX N0. �7475552 P, O1 <br /> � <br /> 1 <br /> ; � ELECTRICAL PERMIT APPLICATION <br /> ' CITY OF EVERETT PERMIT SERVICES <br /> i 3200 CFQAR STREET, EVERETT, WA 9b201 <br /> ,i. 425•257-8810 • FAX425•257-BB57—www.eversttwa.org (�—!4 /� <br /> � C- 13�i -o�°1 <br /> ;, <br /> ;� �IoZ 5h�1�sq., Wa� <br /> PROJECT ADDRE55 <br /> l.Ba R���Y �oo UN���c�s�rrusutr�. �2y S6►'►�t� ��4e�o '3 2o;C-elz 1� <br /> Owner k.e•IAOO2:s Clry State2i: Phone <br /> � nurncrou-5 <br /> � <br /> TCnOnt Me�lAdCmss Clry Stulc4�p � P�e'o <br /> �'�me. Elx}r'�c 133b1 sb 247h ST Belle�G2 WR 980dS <br /> i• ElecincaiConVactor r,:udnddmss Gry slale2io Pnone <br /> Pri�geii39 �T _$���'0� <br /> �� State L�cense Numder Cantracl Pnce af Work <br /> i <br /> �i <br /> M <br /> 'I Proposea Use of 6uilr.ing CenlaR Person (Plan Review) <br /> Il <br /> � Square Paota{7e(I(res�dential new constructi�n,remcdel or atltldion) <br /> 1 �'l <br /> ii Number of Oovicoc pf low voltage) � OW�'�" <br /> { <br /> DescnpJon of Work to 6e Dcne' /�pYC �� 11(� <br /> '� c�n rao(�li��e <br /> ;; <br /> '' I <br /> �� PEE <br /> I /� <br /> cITY OP EVERETT LOCAL SALES TAX CODE IS 9105 /_5 C�� <br /> lL � <br /> I horoDy cert�ly L�af I havo roaC and oxumined Nis npplicafion end knov+No semo fo Do fn�o and <br /> �i cormct All provlsions ol/aws and oMinances govemmg fArs rype oi work wfll hc compfMcd <br /> whufhw specifiad herrin ornoG The prenfin,q o(a permit doo5 not presumn to grve nuthanty to PERMIT# <br /> violeto or cancol thc provisions of uny othcr sfafo orlocal law mgulatin9 constnution or Il+o P� <br /> podormanco o/canstruchon. 7hnf 1 am authonzoJ by Iho ovmot cf fMs proporty t0 po�loRn f�o � I� � I — �/�� <br /> work lorwhich appficahon is mado anC I comply with rha Srace Confracf� s Law 78.27 RCW and <br /> 296.200 I�VAC. <br /> '' 11 � <br /> •'�' signu c acc <br /> � <br /> REvsco r.nv <br /> I <br />