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08/161,07 THU 22:40 F:Ll 425 355 10i0 DLTfON ELECTRIC <br />i <br />[in 0o1 <br />DECO 7 F_C7-CK <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 jp —07 <br />425-257-8810 - FAX 425-257-8857—w nvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />39o1 HoYT- /Aver.lu- <br />PROJECT ADDRESS <br />7H£ £VErtcTr CL,"jr 34o1 Hoyt- Avci-luF Evazerr- w gaLo( 61z5)Z5q-/163 <br />Owner Mal Address City Stutelztp Phone <br />SAXIE _ <br />Tenant Mail Address City Stutor."P Phone <br />ftc712,C a. T.t.C. /ZH0r7 hvxr47LvSpr-y (A 1-70 L YAA1,9J0n0 H-fli gyOP7 i (1zs)..7(/7.7.600 <br />Electrical Contractor Mail Address City Stale/Zip Phone <br />00 <br />7�f/TJDEci3�P3 7� i23. — <br />StateLicense Number Contract Price of Work <br />C"Airc 2vty[ ireG2uflriN�4ZS�j . yq�33 <br />Propiw,ed Use of Building Contact Perron (Plan Review) <br />Description of Work to Be Done: p2 77 04 o6y Cog 7ENd.-17- <br />-�Pizavers cNT <br />NOTE WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX, CODE IS 3105 <br />1 hereby certify that I have read and examined this application And know the same to be true and <br />correct. All provisions oflaws and ordiranees governing this type of work will be completed <br />whotherspeafied herein or not, The granting of a permit does rot nprosumo to give authonty to <br />wolato or Cancel thep revisions of any olherstale or local law regufating construch'a, or the <br />performance of construch'on. That I am aulhonzed by the owner of this Pproperty to fefform L4e <br />work for which appfica inn is made and I comply with the state Contractors Law 18.27 RCW and <br />290200WAr. <br />SirJnaturc Onto <br />Fc;- U& 13 5 <br />