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. Feb. 10. 2014.; 6;48AM ,-.;,�,So d Secu r i ty In� .,;' :. ;'> ,., . No. 0068 .'.. P. 1/1
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<br />LECTF�fC�4L PE�R�M�T. APpL1�ATI;ON
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<br />} ,C171r OF EVERETT PE,RMIT SERV��ES;
<br />'.; , 3200 CEDAR S.TREE;T„EVEF2E�, WA:�9820.1
<br />,,4 425 257'�8810; '�AX 425-25-7��8857°� vuww.everettwa:org
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<br />� APPLICATIONS ARE ACC�PYE,p FROM 8 AM 70 �::PM
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<br />PROJEC;T.Aa�RESS ; .
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<br />Owner , ' Mall Address C�ty State/zlp [� Phohe .
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<br />, ,: enant: ,: . > . �:Mail Ad �Y `., . :, Clty State/Zip Phone
<br />� � ` / �n�r.� �C�.P�rP�- U�I� Gg2ol L�� �-��1.�5
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<br />�lectrical Con#ractor Mail Address
<br />�SO��T� �����7
<br />State License Number
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<br />Proposed Use af Bull�in9
<br />pescription of Work to Be Done:
<br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED 70
<br />BE IN RACEWAYS, MC OR AC CABL�.
<br />CITY OF �VEl�ETt' LOGAL SALES TAX COD� IS 3905
<br />City � St�9te/�Ip Phone
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<br />Gontract Price of Work
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<br />Contact P,�rsan (Plan Review)
<br />✓er �-
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<br />1 hereby certify fhaf 1 hQve read and examined this applicatlon and know the same to be frue and � l� O�` O��
<br />correct. A!I provisions ofi laws and ordinances goveming thls type of work will 6e canpleted
<br />whethe� specified horeln or not. The grsnting of a permrt does nof presume to give authorify fo
<br />violafe or cance/ fhe provJsions of any ofhsr sta[e orlocal /aw reguleting construcfion or fhe
<br />performance of constr��ction_ Thaf 1 am authorized by the owner of this property fo perform the
<br />work for which applicefion is made and 1 comply wlth (he Sfefe Contr�ctors Law 98.a7 RCW and
<br />2g6.2p� WAC,
<br />ignature Date
<br />� �°�l� C�- �-� 2,S' � "I ) -- a5 �1 �
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