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FPOM : BOIJLE" P.CFP.IGEP.RTION F�.G>!E N0. : 425 742 0368 . 7un. 12 2012 07:45RM P1 <br /> . ...._�__�� <br /> �__.. _ — <br /> I <br /> II ������������.. ������ .�L�����=�,���� <br /> ��'�'`� ��� r_°a���`� ���I�i�� ����,A€Wy� I <br /> I 3200 GEDAR STREEY, EVEP.ETT, WA 98201 G —� U—��- , <br /> 425-257-8810 - FAX 425-257-8857 -wvrn�everettwa.oro � �a p6`o��I <br /> � pPPI_ICATIONS ARE ACCEPTED FROh9 8 A�i TO 4 PI1fi J � <br /> I ', <br /> i <br /> I <br /> f Fj��� i�v�;:FST'r� �`� ,�� <br /> PROJECI'ADDRESS <br /> r' / �/� J C�G-(� �D/d �ov/liC� �l/C�G�/ Lt/�' /Or �- I <br /> I ��Il/f S.S E' P�� N (T{J 5� Jz ntateZp Phone <br /> I Cr�;ner Ma��Adtlress ��H I <br /> �i,ee5r7Ar7/ / ��p�o��i �.P��_r�_Y� /o�� Z�Ovsi2v !"vs✓e/T w/}� c7�e�-�3 i <br /> Tznant <br /> Mal Atltlresa� Qry StatelZip °hone I <br /> � � i <br /> `,Ff � L'�4./� � � . c::;:.'I„� ;�:� tSaX //L Ka... r �.�14 �iF't.S,S I5f-l'7Z^ u7i� <br /> l �x., ,.� -�.(A� �u�: <br /> ��h Stz!e/Zip Phone <br /> Eiecttic2i Conlractor �a��A�d��� I <br /> � <br /> ('1i1P' G'' ` / Y' Y� lS, 37, Y -� — <br /> St2te License Number Contrac[Frice of 1NOrk <br /> i <br /> / Ct. L �'tfcFtla�l 2 �.- z.S ,"_ <br /> �n�'�'N�S`� - Cor�ct Persan (Plan Review) `I 7�2 <br /> ?roposeQ Use ot Bwltllny <br /> 4 � i <br /> Description of Work to 8e Doce�. t�'�''- <" ` <br /> � <br /> I <br /> � <br /> I __ <br /> � ! rEE � <br /> NOTE: WIRING IN NON-DWELI.INGS IS REWU!RED 70 � i <br /> � BE IN RACEWAYS, MC OR AC CABLE <br /> i � <br /> '' i <br /> GTY OF EVERFTT LOCAL SALES TAX COOE IS 3105 � �^ I <br /> 1 hereBy cer,ify f7�et I have read ond ezamined Ihls apylicafinr,and kr,ow;ne same to bc frue and �j ���' �� � r <br /> carsct. :,0 prov�sions o(lav.�s and ora'Ma+�ces goverr,rn�7 iftis n/FF of vro,�k will bs comp!ek� ; <br /> :•+nether spoc:Lad lierorn or no1. Tho g�antir,g o/a pe�,mr!does not presum=_:o grve autho;:.y fo j <br /> v�olate crcartcel the provislons oi any othersfafe o�lcsalleHv regu.'at�rg constrocuo.�orft;e I <br /> par;omiance o/arons(rucuon. Tnat�am aurnanzer�oy(!�e otvner oi thrs propem fo pedo�m the <br /> riork for which appliration is made-9nA!cnmply�vdh tt�e State Contr.;tlors Lat4 98.27 RCW s.nd <br /> � 236 2G0 V✓qC. <br /> i <br /> �f� � � ;,LCL/_��i�.�.(l�C-'L� _ _ �t'' ` ��/ �� I <br /> � -=ol�...;.;,, . Dec� <br /> �., <br /> � <br /> 7 <br /> I <br /> .a��1—_ _--____--_ _ - <br /> '_'_. .._,._._.____._ —,— <br />