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Jul 23 OB 01 : 28p p. i <br /> f � <br /> ELECT CAL PERMIT APPLICATION <br /> CITY O EVERETT PERMIT SER11/ICES <br /> 3200 EDAR S7REET, EVEREi f, WA 98201 <br /> 425-257-8 0 - FAX 425-257-8857—www:eve�ettwa.org -�_ � 3—�� <br /> APPI.IC IONSAREACCEPTEDFROMBAM,TIdPM CGB��'-�� <br /> a � � ; � y ; . <br /> PROJECT ADDRESS ' <br /> � j <br /> Ownof MmllAddro Clry , . ShkfZlp U� Phone <br /> � <br /> � .z z� �- , ,� ; ; ��o as3 q�, .� <br /> Tnnant M1fallAddre Clq� ' SUh1Zlp r,� Phone <br /> f sr,S � ( a'-2a '�S <br /> EleCtrical Contraclor Mall Adme . Cily �, Sule7Jp Ahone <br /> ; <br /> �F /SIV G. I� .SrDD �' <br /> Stale ucenso Numbor � ; C ntract Price of Work ` <br /> sr�� ,, <br /> Prop�aod Us0 o BuiId1�0 nlact Person (Plan Review) <br /> � C�/� L�l i : <br /> Descriptlon of Work to Bs�one: ! <br /> � <br /> I ' <br /> ,. <br /> I . <br /> NOTE: WIRING IN NON-DWELLINGS I. EQUIRED TO � fEE <br /> BE IN RAC6INAYS, MC OR AC BLE. : N7 �0 <br /> w;.� .. . j J f- <br /> CITY OF EVERETT IOCAL SALES TAX CO IS s1o5 i <br /> I hereby cerf!!y fhet 1 have reod end exAmine ifs nppll'c41on and know the some fo be tiue nd <br /> correcL A/I provislons ollews rnd oro'Inence verning tlfistvpe al work w!!I bo a�mpletetl <br /> wbofher speclqeC herein ornoG 7he grenffnp e psrm�i doeS rrot resume to gfva aufhorJry o <br /> Notateorconcolfhnprovlslonsolanycfhers orlocallewrepuPetmpconsWc,K/o�o�tho <br /> peAormence cf consirueHan. Thnf 1 em autho ed by:he otvnero!!h,ls ro,oeRy to�erform t e <br /> work for wbfch app.7caUon/s made and/COm with fAe S(ete ContrucPra l�w 18.,:7 RCVV r,d � <br /> 290.200 WAC, � <br /> I <br /> o�pnaturo � �� Dat� x3 oF i• �' /�� / _/ �� <br /> I J <br /> ., . i .� I ' . . <br /> I I� . <br /> . . . . . . . ' . I . <br />