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- - - � - . . _ ---_ � . <br /> ELECTRICAL PERIIAIT APPLICATION <br /> i CITY OF EVERETT PERMIT SERVICES <br /> I 3200 CEDAR STREET. EVERETT WA 98201 9 �f�s��_� <br /> I 425-257-8810 FAX 425-257-8857 — www everetiwa or <br /> I S�ao -IS <br /> ,I <br /> f{ �rin�;Pcerell F.�:il�l�]9lkt Avr \V .�4 9�IIIt SL $�L P�•rrr1l �\'A 9R204 <br /> PROJECTADDRESS <br /> I liucinC [vere•tl Paaiiiy _ 311Ui \\'est Casino kuaJ P.��ereu \VA 9A203 (:06 Y4)�0�14 <br /> I �YR+B� Alad ACArrSs Gry 5181eQip P�one <br /> I <br /> \:)f11C d5 l)N'i1C( <br /> Trnanl Mad AAOress Cny State2�p Pno�e <br /> srtr:206-6HJ-3�169 <br /> �'GCA Llrctnc 5611 - 7th Avc ti Sc.iUlc \VA 98108 ��f(ice:206-436 5200 <br /> Eiectncai Contraclor hlad Atldmss Cdy Slalc!Lp P�one <br /> V'I c �:11-(:f_��12�1U 515.000 <br /> State license Number Cont�act Pnce ol Work <br /> \I.inulailurut�; <br /> Proposea Use ol Uwld�ng Contacl Person (Pian Rev�ew) <br /> N/:1 <br /> I SVua�e Foolage(If residenlial new conslruchon, remo0el or a4d�Uo�) <br /> I <br /> N(:\ ii <br /> I Number ol dcv�ccs(II iow voltdge) ' <br /> Uescnpuanot Work�o ee Done Insl.dl 4tt0�' iPf I 1 �Vu'c melcr ba�e & J00 Amp I�OV ?I'If 1 \V"irC <br /> ', ..��,tncl Iu su����ly 2 (a���.cr.kiJ� Inr Icmpur.�ry Ira�lcr ��rnccr. <br /> iFEE � � I <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS J105 ��fl � z� � i <br /> I1 hereby cCrLly tAaf I IId�R reaAand erdrquied fhrs npp6��FlhOn dnd Anow fhe sanre fo De Vue and _. _ I <br /> i, [onec( AII p10vi5WI1S OII�iWS hclU Olduldllf.PS QOVPIIIIIiQ Ih�$(y(12 pI WOIk N'dl/)P fOfI1�11P(PA <br /> whefher sper.d�rd herein oi nof 7he g�an(iny ol v prrrruf does nol presump fo yrve aufhonfy fo PERMIT# <br /> viola(r. o�cancel Ihe pmvisrons o/any nl/rw sfafe oi local law�yulalrng consln�cbon nr Ihe ^ I�D� ' I �� <br /> I peAomrarrce ol consfn�d�on ih,�(I drn aufhonzetl6y Ihe owner o/Ilus piopedy lo UeAoim(he t <br /> IwnrM /nr wn�Ch npplrCdlrorr is rnade anA I r.ornply wAh fhr Sta(e CMifrdclo�s Law 18 27 RC W and <br /> 296 700 VAC <br /> � � <��n,�-- s ao-aa is- , <br /> I S�qnalure . Dale I <br /> wn�;co��n�� � <br />