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Cl/25/2013 YRi 10: 36 PnX 3037796501 6teley inc ��?'�" - - � <br /> • e <br /> � <br /> ELECTRICAL PERIVIi�' APPLICATION �i <br /> CITY OF EV�RETT PERMIT SERViCES ' <br /> 3200 CEDE�R STREET, [V[RGTT, WA 98201 � <br /> 425-257-8�10 - FAX 425 257•8857—vrovw.everettwa.org /�a9-�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��3 D ���� /J <br /> I � yl l � ���zef-F w�9 � a O I <br /> PROJECT ADDRE38 <br /> Owner hlatl Atldreae Ciq Sle�e�Lv Phone <br /> '�►Rc���4-oe2 �M�,tiunirl�4-?vng ��oo �-(IS� E�er� ff w� 9�� � <br /> Tdnent �dail Adtlms9 Clly Sfx+.elZip Phona <br /> S�T�Ge� %'.e�`'t�Lod'�Qs �'�a y 7 s a�a� Ke.,t wA 9�'03 i �an-�Sa� <br /> EIaGnCalContracKor �dedPAamss C��ly Slxta2ip Phono j <br /> �G 5'T/�LET '°' y�o7c/< �d���°°}' <br /> Stote Llconso Number Conlract Price of Work <br /> � C�F'F�o � S�-C-E- s'T� �/E �ldsinH-�tJ <br /> IPropoaed Uso of Auiltlinp Contaa Person (Plon Revlew� <br /> ' /g!nD C�-b!z ��oPs b e,�we�h 3�caaes <br /> Squxre Fcotagx (I�:esidanlial nnw construCion, romotlal or odd��tion) <br /> oeocr�pt�on ot work to Be oone� _ _Vi�_�a� t/J�� S�i'I (� GOf✓ v�L'f AG _P ����O <br /> Zn,�'e,�.s,�,e� k�.e� o.Y, -�•�—� � ��-� �-_ �vo <br /> Ne� ��,�s���G�:a�1 - ---- --- - <br /> NOTE' WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CA6LE, ��r � �j <br /> J <br /> CITY OF EVERETT LOCAL 9ALE8 TA% CODE IB 7706 <br /> 1 horoby cnR;ly fhot 1 hnw ixetl dnd ex&rnmed Ihis nppl�cu6un an0 know Iho samo lo '�e frue end � � �Q ( — I� �] <br /> coriucL Af/provisrvns ollaws and orclinonr.na povooting this typo o/work wlq Ae comp/etotl � <br /> whe(Nor spoclhod horgin ornot Thy yranfm�of q pyrmd dors not rvsume(o yna eulhonty fo <br /> v�o/afe or cenca/Ih�provisrons o!apy o1ho�slnfo o�loca(lotv mpuPting consfrticflon or(Ito � • <br /> porformanco o/conslruclion That I nm�u(honzed bylhy o�mnr�l(hisp roperty to per(arm(he <br /> work IOr wh� eppli�yfion rs mede and I comply wRb fho Sfafo Contiaclons Law 98.27 RCW antl <br /> zse.�a <br /> � <br /> /�' ' CC l'�a��.� <br /> SlynnWre dte <br />