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a25-252-1666 CMHE�TING 1 � 6:45a.m. 02-21-2014 3/4 <br /> ELECTRICAL PERMIT APPLiCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.eve�ettwa.org <br /> APPLICATIONS ARE ACCEPTED FRO� 8 AM TO 4 PM <br /> a �a�-�� <br /> � )L�Oa -13 1 <br /> �+�Ol� 5`�'.Dr S� E✓er� c.c�A q8203 <br /> PROJECT ADDRESS <br /> (,�auVle ��.emA.v� �lt,►tivt. u.o Q.�a� �(a 393 a�oq _ <br /> Owner T-- Meil Address City SlalelZio Phonc <br /> Tenant Mail Address Clty SIaIe/Zip Pnone <br /> �(YI__ t�eq�ina In 1�115 P�raudw���. FIP.rex�t W A qg701 '�25 25r-I (a(ob(o <br /> 61eclricalCaniracln� MailAddress Clly Stute/Zlp Phonc <br /> CM�EA��4�����J 250 <br /> Stale License Number Conlract Price of Work <br /> Propased Usc of Duildiny Conlacl Persan (Plan Reviev�) <br /> �escriplian af Work lo Oe �one: I Y�S�,I I 1�U,� l�tJ 1 v�.i..� �Qa r ha..hdle,�' -� I v�� <br /> NOTE WIRING IN NON-DWL=I.LINGS IS RE�UIRED TO FEE <br /> �E IN RACEWAYS, MC OR AC CABLF. � r_ O� <br /> U <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS J105 -----� <br /> I hereby conily fhnf 1 bavo roed ond o.romined Uiis �pPlicnlion und know(he smno lo ba liue rr�d � � I I o�1 � I ��y <br /> concct. �II piov�sions ollows nnd oNinnnr.irs govomfnq Oils lype o!wodr will Gv canplclod '-( G "I <br /> wpcfhcr spca(cd Imroin or nnl. Tho granlln�ol a pemiil daos not �rasumo lo givp nufhariry to <br /> viol�du orct�ncol fho �rovisions ol uny ofhurs(tllo orlocullawiu9u�afing consfrucbon orfho <br /> pmlonnancc o!cons�ruclion. That!arn authorimcl by fhu ownar ol fhis proporty(o per/orrn fhe <br /> wadc (or which applicalion is mado and 1 cmripty wi(h Ihc Sfalo Conhnc(or'Law 1�.2717CW and <br /> 29 G.Z00 W!I C. <br /> �� ' <br /> bw. v� c a aa 1 <br /> \ Siynulum � Da�e <br /> � _ __--_ <br />