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Sep 01 10 11:OSa Rob's Eledric Inc. 4253347056 P.2 <br /> \ � � //� <br /> � ELECTRICAL PERMlT APPLICATION <br /> I Ci�Y OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE'fT, WA 98201 <br /> 425-257�810 - FAX 425-257-8857—v+ww.evereawa.org <br /> APPLICATIONS ARE ACCEPTED Fi20M 8 AAA TO 4 PM <br /> �.� � �.�� � s�, �-� rb� <br /> PROJECT ADDRESS <br /> �6Y1� � z r,er I 1611 ���,a�.�-F �( � 1� ��E'�� <br /> Owner MailAd&ess �— Ciy StateRip Phore <br /> � Tal13M Mannadress Giry State/Zip Pbone <br /> /' �u7-.:�?i.'}'�'��sf <br /> � y .� "� C �^ •� <br /> I��:�75 � V�� \� ��^�. �'jLk�i� i(�"`i� - ,it'. �� CttF(�'� �:7.i1 t� �i �_ <br /> ElectriralCOntrictor MailAddtess C1tY Sia[e/Z�p �°�e <br /> �:C�i'���L� 11`� I)::� `�` �J��.fJO <br /> Scate License Numba Cortrar,:nrice of Work <br /> Proposed Use o(Builtling Contact Person (Plan Revie� <br /> Dasaiption of Work to 8e Done: �!��� �"�^ �P� ^ <br /> ( <br /> I <br /> NOTE: 4N�RING IN NON-DVl'ELL{NGS !S REQU:RED TO � <br /> � . BE IN RAC�A'AYS, f�SC OR RC CABLE. <br /> � i i I <br /> CI iY OF EVcRt i T LOCAL SALES T:J: CODE IS 3105 <br /> ! h�reby csrtify that I have rea�and e�:amined ihis ap?lication and�:now the same to x Vue and E��.��h -��<�(` <br /> corre�. �I provisions o`i�vs a-•.0 ords�ancas govemmg tn5 ryG-�f worF:v�itl be�r�pie[ed <br /> vaha:h2r>peafied harei�or r.ot. The�rantin�o`z pe,."r.i!does m�Y presume tC giw_e�'ho.^.ty'.o <br /> violat=or cancW the 7rovisions of any other srate or local law regufa�ing consQuci��.on or ihe . <br /> performance of consw�von. That I am autFarirgd by i�e ovmer of ih�s property!ope nerm ths � <br /> work for w�:ch application is made and 1 comply w�(h the S�t=Cont2ctors Law 582'RCV��an6 <br /> Z�.LOV ✓VAC. ' <br /> � �'� i <br /> � " ;�-� .�--; ,: �1 �1 a _ � <br /> �M�.e �, «'— Datro <br /> I � �� � <br /> i <br />