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Fel ?7 13 12 SOp Conidor Electric Inc 360-862$150 P � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERV4CES <br /> 3200 CEDAR STREET, EVERETT. VL'A gg201 <br /> 425-257-8810 - FAX 425-257-5857 –unvw.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PA1 <br /> �0��.�1��` hl�cFLY ��V(� <br /> , <br /> PROJECTADDRESS <br /> C tF �r�1-ll� �� !h��lb A b'� c�'s���L����,cJ� �f�';t1 P� �1�-�58-�cc`7�3 <br /> Dwner ldail Adtlmss Ciry S:ala..F Pl.o ic <br /> J�mn�� •�N.0 �1/V�I�;�Y�- �-la. �x 1�2t 4����rn(��hnl I� �i g�n -��mE ��v <br /> Tenant 1.7ai1 A�:dre��sc�—�— CiN Stalcr�p � Phone <br /> -�bo� <br /> ���� -r Nv^ �'.L�C��IG l�G 4{.�11'iX}PL� �1►�r�lli� � �U�3�fr)iI��SN �L�fi-OI�yO <br /> [lectricai Contractcr A7ail Address Cily Slate.up � Phonr <br /> �T.� � ���J �J� 1 ���— (��`�7�1P�/� <br /> S'ate Li:e�se Number Con:rad Price of'T/crk <br /> ��rq-i � �dp� c3-e���m� r�� <br /> �oposed Use o'Euildin� C�n�a_t Peisun (Plan Re��ie�•:1 <br /> ��� � Q FT <br /> Square Fcotaqe Qf residential ne�rconsl•uctior, re�nodet or aCdiUon) <br /> DescriFt or ef yVork to Be Jone: I I �,��y� � I i11 Pl�l�l.�h�1�,7���Jr1�%J �T� �TD <br /> I.L�L-L( ll�� ^�.',___� tJ�-��?�OL� �41Y1P �E%5 V��ll���l D l�(l� ��l)L�� <br /> ,,ti1 �CI �� . Z de�i(e5�� <br /> NOTE: WIRING IN NON-DWELLINGS IS REG'UIRED TO �E � <br /> BE IN RAC[WAYS, MC OR AC CABLE. �� �O <br /> CITY OF EVERETT LOCAL SALES TAX COD[;S 3105 <br /> !hrreby certi'ry thaf!hat�e read and examined fhrs aFF�ication and kno�r the snme to bc;rue and <br /> ro.�ecL AJ provrsrons o7lor:s ond ordinances goverr.ing(his fype cf�.:ed<n•;7!be campiefed � I 2 O� �!G l� <br /> a�h,ether specrl�ea/:^rern ornoL The yranGng ol a p^��nd Coes not{x ssume:o y^rve o�;hunty fo J l D l <br /> viclafe or canCe.'(ho nrovisiCn�o/eny ofher state oileca!fmv�egulatmg consfruchon c:th,e <br /> performance �lccnshe:cncr.. Tn�tlama�thon_edby!haCn'nero`thispiope�t�fo�erfor,nthe <br /> a�c�-hr which eppLcnhen is rtiade end I ccn,ply n�ifh th�e Slate Conlrac'ors:aw 12<i RCIN ond <br /> 296.2001NAC. , <br /> � / � �� �.. r"�'1. �—� J I <br /> sgnaturc / ���� <br /> i i <br />