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06/08/2013 22�40 <br />p2659 P.001/001 <br />i <br />: <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEpAR STREET, EVERETT, WA 98201 <br />425-257-8a10 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM <br />6-10--�3 <br />E1306-05� <br />��c� a� lsT s�,�, �� <br />PFtOJFCT I�DRESS �� <br />/�V <br />�uGl' ��Vi.f -/9�.1 �1�J7' �il/,�/l�j�'Gvf� �do/ ��S/ — <br />Own�r Mnil Address Clly Statj/Zlp Phone <br />Tanant <br />Eloclrical Contractor <br />.�����1� <br />Stata Lk:onse Numbor <br />)�� <br />Pro�— �ose�Use of Ouilding <br />A1dil Atldfe56 <br />Mail Addro55 <br />Ciry <br />State/Zlp <br />State2lp <br />Pnone <br />Phnnn <br />%6a� �(. , <br />Contract P[ica of W rk <br />Contaet Parson (Plan Ro�ie�v) <br />Oescriplion ot Work to 8o DonO: Rp ����,�OV�i�,�J��_i�'�J�.L � <br />NOTE: WIRING IN NON-D'JVELLINGS IS REQUIRCDTO <br />BE IN RACEWAYS, IviC OR AG CADLE. <br />CIIY OF [VERETT LQCAL SALES 7AX CODE IS 3105 <br />1 horeby ceriily ihAf 1 havo roed and nxaminetl IhlS applid <br />cerroct. AI( provlslons o(laws and ordfnnncos ynvemmg <br />niro0ier spoclfiod horein or noL The pranting of e pprm�t <br />vialale or cancal ffte provis�ons ot any other sfato orloCal <br />pericrmanw o/ construcflon. Tha! 1 um nufhodzad by tht <br />work 1or whlch up(,lrc;rtion !s mado and 1 compty with th� <br />296.20o WAC. A <br />ow tho same tn bo truo and <br />work w1116o co nplatod <br />esumo to give author�ry to <br />and <br />� l'>� � -v51 <br />