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Ap� 09 09 0433p P 2 <br /> I <br /> ELECTRlCRL PERMIT APPLlCATlON � <br /> CiTY OF EVERETT PERN�iT SERV�CES <br /> i 3200 C�DAR STREET. EVERETT, Y�iN 98201 <br /> 425-257-88 i 0 - FAX 42�257-5857—www.evereciwa.org. <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM <br /> � L/� <br /> �„1�,�1 �-�r �'c�r+ R�t �- �'Icr�) <br /> � PROJECT ADDR� <br /> ��h-2 1�'�- cizi��r �Yo��_—_ — <br /> pemer <br /> Ivf�AAdres Cily StatefZip �'n� <br /> t�� 1 AMu0�0 /�� <br /> •.ri n r Cit Slale2tp Phone <br /> Te'tant fdail�dress Y <br /> u� �, <br /> /� C / /' °j�.�j.l'�-���. <br /> "i-I � ; i .1�. , "_,�, l-^�r�� �1":2;:C' :�.it' `Y �Lrt'_-r ' :.i.:". 4�,�,7�:c <br /> i�ia��� 1�.• �, � � Phone <br /> 'Electr,cal Contrador �naii Acdress �'�' S�a��'P <br /> f'�r..11 G , ��� ��� I� ��U <br /> y�i 4 � C J-� - Contract Pric_�f V1crK <br /> Sta[e Licensz Number <br /> ProposeQ Use o`Buiiding Contact?erson fPian Rzvie�+') <br /> � <br /> iI <br /> � t. �,-� � 1- S�ilrc� � �C � (C��� <br /> Descriptior� of 4VorA to 6e Dore: <br /> NOTE: V�9RIN3 Ih NOh-D1�'V=�Lt�tGS ;S REQUIREQ TO "�� <br /> ^oE ;N R;;CE\hI:.YS, AkC OR F�C Ci�BLE. <br /> I � <br /> ICIlY OF EVERETT LOCAL SALES TFJC CODE IS 3105 <br /> i <br /> � I here6y csrti`y�that i nave%..ad and eaamined this appl:cation and know the sarr�to ta We and �,\_G� <br /> c�r.eci. All Provisions g`fsws anT orGir�en:,Vs 9ovzrriny Lhis tyPa of��rr�;�•:II b�oonple,=_d �C�1 <br /> � r+ie:h�spza5ad;zre,r� a��� hz gra�6ng o`•z p�rm�t does no:presume t�give 2utho��,!o . <br /> �� violzte or cance!tn=_prows��.ons of any otFer sta�e or locai law reouiaimg construc:ion cr;ne <br /> perhrmance ot cor.structian. That I am authoriz�C.by 1he owner o'r ihis Groperry topr�rform ina <br /> I work For w�'�icn apoliration is mada and I comply�l�th�the S�te Contracto:s Law e8.27 RCVd ano <br /> 2�0 2w'dc:.C. <br /> ��I �n;r,Z,c.r� �� / ' �ie �-O� �II <br /> � i �� . j'�`. I <br /> � � I <br /> � <br />