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O1%?2'?013 TIIE 8: �9 F.al ?a3 � li6i El'fRGRCL'\ S'P:aTE GLEiCTRIC � <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRFE?, EVER[TT, Wl19820� <br />42�257-Fia'10 - FAX 425-257-8857 - www evcrctt���[a.org <br />APPUCATIONS ARE ACCEPTED FROM 8 AM TO J PM <br />,-��1��� 1�� �.�1� i���G���2��r1.;. ��Lc �ti> �-�r. <br />PROJECT ADDRE55 <br />�7 � UC� IG1t` i��-� S��\it. �� iv <br />=vF Y�.c.�i�" -�l�y,� ���� t 1"y ��1��(,`���� L�C �1���,1.tilL �� �1 (ac�� t <br />ovc,�. :.,,,�� aa,�:.s•: ,-..� scmoiza <br />TcnaM <br />� <br />Ido�l AC:r��� <br />Elearical Cor�ractor n��^. naan:v -. <br />��'t,� �2�, J� � �l� � <br />Stalo Licnnse Numbur <br />l�c � <br />Prooa;cd Use oi dwldmy <br />CTy <br />���- `� �1 <br />CN <br />Squnrw Faotag�+ �il rwsftlunhnl new. eonrfructlon, remodv� nr addltion) <br />ONSCIipllOn of VVOfk lo H�� Donw- \J �� t= � I[�i-� V� �1> \� �11���'�\ <br />NOTE� WIKiNG IN NON-DWGLLINGS IS R[OUIRtU i0 <br />BF IN RAC6lrVAYS. 61:: OR :.0 CABIF . <br />5[�;:erZ � <br />0 <br />�ooi <br />Fac^.e <br />������ �� � <br />P'�tr� <br />Contracl Pncn o� WurB <br />t�� �c�� ��� a��,�� �L� n -- <br />Conlacl Pcr:on (Pl+m Rcvlewl <br />CfTY OF EVERe7T LOCAL SALES TAX CODE IS 3705 <br />7 hc mDy ccrtMy fAat 1 7�dve roaa xnv exNmmad tb/s appOcailon antl Nno:: the sarno to bn mia ond <br />co�rod. aUpmvisronsofW:vsandordmancns,yovertunyth�slypeo!�tibrkvdlloccompk�WU <br />�.rncrn�r sp�crt�we numm or no�. 7he qrununy uI e p�,�r,e dn,.s nut imsumc to gNc authorRy fu <br />v,vlufc orcanCNfAc iuv�rn�ns o! xny ulhcr sfa,r, orbca!!aw rcypulJtr/nJ Cuns7/urlion nrlhn <br />peAormwnce of consPactbn. That I am aothorrzeJ ��y 7bu o�t•nAre1 Mls property to peAonn fhe <br />�•�ork forv�h/th appbcetron is mqdz arW I comply �•�Rh the JYatr Conirr+ctors Lww 1R27 RCW and <br />29�f.200 INAC. <br />�`1V."� l7n'� l�- � I �,'�� ��� <br />��� <br />oD <br />5� -_ - -- <br />�130( � ID�{— <br />