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( <br /> E:LECTRIC�4L F�ERMIT' �►PPLICAI'���i <br /> CITY OF EVERETT P�RMIT �ERVICES <br /> 32fi0 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8610 - FAX�25-257-8857—www.evere2twa,org <br /> APPLICA+IONS ARE ACCHPT�D FROM e AM 70 4 PM <br /> 5108 Ev��C�tz�FN �/�Y <br /> PROJECT ADDRESS <br /> GUAS'T T(� CoA-ST FU.11,D��� --�l-NC- <br /> Qwner Meil Addre89 City StHto/Lp Plwno <br /> tZE NT- �- �-�lT� 510 S Cvc-t2��'-c.� w A-4 �v c-2c-"ll_ <br /> Tenent Mao nddress Gry s�aierzip Pt�ma <br /> �i4�M�`i' <br /> S�C �����Nc. 3�io�- 3�. C�.��r� �-� w� <br /> Electricn�Contractor Mall Address . Clry su�elz+p a53 a.�i�'��3 <br /> .��� �� �� � 50 �ti� <br /> ���i������ �,,o�o. a� <br /> Stato License Numher Contracl PriCe of Wotk <br /> Cpvv�rYl.G�2C-1,(kv �l'�i�,� .l'�'�",�v l�ti'1 <br /> proposed Uae of Buildin9 Contact Person (Plen Review) <br /> Qascriptbn of WoAc lo Be Done: ��� P�m�-C E �E��� � _ <br /> � RE��`f -Fc�2 �.1 ; �2..� h1C� ��N� �Gi Lo <br /> PLS l`1(�TG� ^Ct�IS PGRM-l"i— f2c��-Ac�s s.T�i�. 'P��" '� 13'�2�16 _ <br /> NOTE: WIRING IN NON-D4VELLfNGS IS R@QUIRED TO � <br /> BE IN R.4CEWAYS, MC OR AG CASLE. � � �� . LJ.` <br /> CITY OF EVERET7 LOCAL SALES TAX COOE IS 3105 <br /> I hereby certily thet 1 have tged and exsmined this ep�(icallon and know the ,ro be 1ruG and <br /> carrecl. Rll provislons o�laws and ordinances govert�fng�thla type ol work w d compfafed \ <br /> whether speclRod hereln a noL Tho yran5nG�ol e pem��(does not praswrr �o ghro aufhe+�Y�o � <br /> Wolefe or cencel the�rowsions of any oth�f Jt t6 orlor:el/aw roguiatinp cc.nshuctlon orlhe �� <br /> ,o9rlomiance ol canstryc`lion. Thaf 1 am 9ufhOr�zeC by lhe owner o/fhls properri fo perform the ,� <br /> worir far whkh eppli a6on 1 atle antl 1 p y Me 5tate Contrec(o�s La�Z 1B.27 RCW and ,� <br /> 296.200 WAC. � � � <br /> \ ^ <br /> � �1/� /�� i, <br /> SlgnaWie Dete <br /> �� �P��� T�X P�t�� �� rt--c : 2�3 ��3_— c� l 5�I <br />