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Jul 1S. 2012 1L41Ah1 �Jo. �626 ?, 4 <br /> - — � <br /> ELECTRICAL F�ERMIT APPLlCATION <br />� CITY OF EVERETT PERMIT SEi2VICES <br />� 3200 CEDAR STREET, EVERET7, WA 98201 <br />� I 425-257-8810 - FAX 425-257-8857–wvnv,everettwa.org <br /> I APPLICATIONS ARE ACCEPT[D FROM 8 AM TO 4 PM •� `I �`/Z <br /> i I <br />( �iZr7�7 -�� � <br /> 131� 3��''' T �15p2, �y �'?,� { <br />, PROJEC7ADDRESS �� <br /> ��'�'Y�,►'� Slnc�c�.ir S0.,rv�� ►�26 25q I <br />� � <br /> Ownei h"ud ACdress C9Y Slata�L <br /> p Pnone <br />, 78nanl hlniAddwSs CIIY Staln/Zip Fhone <br /> _��-��G Ih� 1�1%� Rraa���rj �, �iere#t wR qg2c� � t�2� 25� ���.6 <br />� ElecmcalCenlraclor � h1pllAtl9res; C�ly SIa1e2� <br /> P P�on2 <br /> C�IN�� �qa I�9 �50 ' <br /> Stat9 License Number Conlrotl Price of Work <br /> PropoSad Use of puildmg Contact Parson (Plon Revicw) <br /> OescnpGon of Work�o Be �one: (�{�,� (;�1 Y��,I.I�I� '� <br /> NOTE� WIRIN� iN NON-0WELLINGS IS REQUIR[D TO pE� — <br /> BE IN R{:GEWAYS, MC OR AC CA�L[. � <br /> CI7Y O�EVERETT LOCAL SAI.E3 TAX CODE IS J705 _� � ' <br /> 1 Heroby certJy thot 1 Aave read and Bxamined fhis applicpdpn and know fhe same 10 60 ln�o ond )� �7 �� <br /> corr�cf. All prowslons of/a�vs and ortl�nanros govorning fh�s typo of�tiDrk wiNbo complo(ed �(� � 2-0 ` � U�F � � <br /> whothc�r spoGBed horoin oi not. Thy gronllnp ol�Uormd does nof rosumv fo g;vo aulhonty tu <br /> vlofafe orcr�ncol fhn rov�slons oI any ofhor slQ;o orlocallmv roguPfinypconsbuction or(ho <br /> wo�for wh ch oppi c�iron 15 mado�ond l compfy wr�fhe Sfate Confr a�closnL3 V 18�i�RCV✓e d <br /> 296.200 WAC. <br /> e <br /> e�b�a. ��.�n,� �.�4g ,c�., <br /> pnalu�e � � oale II <br /> —_—___ _ � <br /> "_-_ - w <br />