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� � <br /> - -- - --- _ - --- - - - - --- � <br /> � <br /> � ELECTRICAL PERMIT APPLICATION <br /> I CITY OF EVERETT PERMIT SERVICES <br /> 32U0 CLDAR STRE[1, FVERETT, WA 98201 j <br /> 425 257-f3010 - FAX 425-257-8857 - wuw+everettwa.org � <br /> �/�'/Z -ol $ i <br /> I <br /> / /� -3- -a S <br /> I 3003 West Casino Road C7��� ��� �b <br /> PROJECT ADDRESS <br /> 'I'hc Uoeinq C:ompany P .O. t3ox 3'/07 Scattic , Wa 991"1.9 ___ __ i <br /> Ownef No�l�OArCss Cdy S�alc/L��D P�one � <br /> ITCnllnt A1,'Addreis Clly State/7.ip �_—`�� PPorr <br /> Prime Electric 13301 SF. "l.Gth St Eellewe, wa 98005 97.5-747-S2C0 <br /> -- — _ - —_ i <br /> LleeincalContraclor L�a1AdUmss � G�y Sta!e2�p 7Ponc <br /> eiiir�s�ri3no� oi����� <br /> Stale License Number(reqwred) C�ry of Fvoieti DusmNss License Number treQuned; I <br /> $ 1 � , SOa , <br /> Proposed Use ol Owitlmg Contracl Vnce o�Wort ' <br /> ":Urt1 O'IId Yd i <br /> I _ toharuc�primeelectric_com I <br /> Squaie Foolayn(tl iesrlenba'new cun:trucUo�, remenel or:idd�iron) Centact PersonlConlact Numoed"emad � <br /> I � <br /> I ! <br /> Number olcleviccs(II��.owvoltage) ��, <br /> Descnp�,,n orwo�k to 8c oonc _.��-- --��� _�_ t��C��T�t�'� 1 2 C) v Z�A _ _ <br /> �rr� �,� �-s F� ��w k � ���, P+k .) ati �.�s �az� . ' <br /> — - — — — -- — i <br /> I FEE ----- -- ; <br /> I CITY OF FVERETT LOCAL SAL[5 TAX CODL IS N05 � ' / ��+ �� 1 <br /> i I he�xhy ccrfiry rnor r��a���rcad'anJ erarmncA fn�s applic;i6on nnd Mnow Oic samo!0 6o tn�c ancl _L _.___ _� <br /> cunect �ll provisions of laws nnd nidnroncos qoverrnng Inrs lypo ol N�nrk wnl Oo completed � �----- -- <br /> wryofher specdru0 boioin oi not 7ho y�anfmg ol�pnnnd Uoas nrf presumu fo yrvo oufhonty lo � pEHMITA' � <br /> vro.olo o�cuncel tfro piowsions ol ony uflrer sfafe or ioco�luw regulabny consfrucbon n�Bre 1 � <br /> poAu�manco ol cuns(n�chon. ihaf I ant authonzed by fhe owner ol fhis pruperty ro podo�m fhe E I�12� O I� <br /> w0�k lo��shich appOC�hon rs midc anU 1 comply wrtM1 Ihe Sfafo Conha:tors Lnw iB?7 RC W nnd �l { ._.__ ___ <br /> 296 100 WAC ; <br /> .-���"�--- -�Z f � �S- -- -- <br /> S9naNrc Deie� � <br /> c,v�sm rnowou I <br />