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11!0712012 14:26 2062847?16 ASG PAGE 01/01 <br />• � <br />�LECTRIC.�I� P�RMi �ON <br />� CiTY OF �'V��ET7 PER[V[N'�' SERVIC�S <br />3200 CED�.R STR�ET, E�/ERETT, WA 98201 <br />425-257-8810 - �'AX 425�2b7�8857 — www.everettwa,org , <br />APPLIGATiONS ARE QCC�P'i'�D FROM 8 AM TO 4 PM . <br />�' 1 t� P� r�� � ��� E ��o,� 2,� ��'�a� <br />PROJ�C�' ADUR�SS . <br />��(7� � JSEGiO��►t � �� 1.7�, t�-� �UX � ��� ��Zi��- -�e-� f S � �� <br />Owner Mall Address Cfry � StatelZlp Phana <br />T�enelnt Malf Address Ciiy SFatelZip Pt70ne <br />�J�i�5 i.�i�C.S�i�.�L� ITii� Jl,� �► �'• JC��i , .. . <br />�R;, � ������ � ����r� : ` � � ; ; <br />c�i�� �c,� �.��Y G��.� � (,�c�� `�g�o� �-�4-�s�� <br />EleCtrical GOntTaCtof MaR Addrass Clty 3tatelZip Phone � <br />��otias��- o r,�� � <br />State LiCensA l�lumb6r <br />Proposed Use of Building <br />�2C�(p�, 04� <br />Contract P�lce of Work <br />Contact Person {Plan Review} <br />, <br />Descript;on of Work to Sg por1G: �►��A�t-c� �� �Ot.rA�� _���c�-' �"�7 S��T�'1 - s�Q -� 2� �j4 <br /><<' <br />NOT�: WfRiNG IN NON-DWEL,�INGS 1S REQUIRED TO <br />$E IN RACEWAYS, MC OR,F1C CABLE, <br />CITY OF EVE��Ti' �OCAL SALES TAX COD� IS 3105 <br />! hereby c�r�lfy that 1 have read and examined thls applrcation and know the same fo be lrue and <br />aorr'eCf. Al� prov/sfans oflaws and ordinances gaveming thls type o�' 4vork wil! be comp/eted <br />whefherspecified he�iin or nof. The grsnting oPa permri does nat presume to give authority Po <br />vlolste or c�nce! fhe �rovisions afiany ofher state orlocallaw regulating cor+str'uciran or fhe <br />performance oi cons rr�cflon.. 7'haf 1 am suthortaed by the owner of th�s,property to perform the <br />wor,k for svhich applicat+on is made and ! com�ly wifh th's Sfate Confractors Law 1827 RCW and <br />ons onn in�nn <br />1����2 <br />FAX 20�� ��34-'7'7i b - -- <br />�mA�« PAu�A�? A�an►sar+s�c�,RrT�7. com <br />�� � � � ` - �p. � : ::: ` <br />FEE <br />5c�•o� <br />