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ELECTRIC�►�_ PERMIT APPLICATION <br /> CITY OF EVER�TT PERMIT SERVICES �_a�� �3 <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � � IU(� <br /> 425-257-8510 - FAX425-257-8857—vn�nr�.everettwa.org C 13� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 8916 5TH AVE V'J <br /> PROJECTADDRESS <br /> TONY BRAGG 8916 5TN AVC W Everett WA 98204 �7?�-z38-8753 <br /> Owner Matl Address Cily State/Zip Phone <br /> �enant �1ail Address Qty StateJZip Phone <br /> WESCO 3909 196th St SW, Lynnwood WA 98036 800-398-d663 <br /> ElecGical Contractur M11ail Address Ciry State2ip Ph�z <br /> WASHIES9710D ex 09/02/13 $2�� _ <br /> Stale License Iiumber Contract Price of Work <br /> SFR - <br /> Proposed Use of Building Contact Person (Plan Review) <br /> C�escription of Work to Be Done: <br /> E=LEC POF� FRUNAC[ RGPLACGMGNT <br /> �iOTE: VJIP.If�G IN f 1GIJ-DWELLINGS IS P.EQUIRED TO FEE <br /> E� IN RACEWAYS, PJ�C OR AC CABLE. �� � n <br /> lJ <br /> CITY 6F EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> I�,��eb;�cerzi/y ihat I nave reatl and ea�amined this application anU know(he same(o be t�ue antl i <br /> carect. All provisrons olla�vs anrl oramances goveming this type of work will be completetl 1/ I �� �� I � <br /> Ie;hether b�c:ilied herein or noe The granting o!a pernvt does notPizsume ro give authorrv to i./ <br /> vr�late or cancel the p�ovisiau ol any other siate or lecal lan�regu ating constructron or the <br /> per/ormanr.?o(constructior. That I am autho�ized by the owner of this properry to perform fhe <br /> �va-h Ior irh!ai application is made antl I compry�vi(h the State Cennacto�s Lau� 1817 RCW and <br /> 296 20U INAC <br /> oign.�nr 5�9naa Lr�emur,•�u��pe:, <br /> J E r� n i fe r B u rg e ss ,�� �„-��.,,,,,�..,�,�.,a... ��.��„T�.�v�sTr�R.,�T <br /> u=NONTIIIVCST fCRYIL��iueil=jenndmgnwP"runtcmu.c=US <br /> �.i . . r..� . <br /> �i9nature ate <br />