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Od�09i2012 1: 21 F!J FA1 208J02�466 NETRO ELECTRIC � 000'./000: <br /> ELECTRICAL PERMIT APPLIC�TION <br /> CI'TY OF E'JERETT PERMiT SERVICES <br /> 3200 CEDAR STREET, GV[RETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-wvrw.everethva.org <br /> APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> J��� <br /> �t E Y.�...-!.J <br /> PROJECT ADDRES <br /> pwnef MailACdrC55 Clty StatdtiD Phone <br /> �rv��ee�ri� 53�1 �ur�cyr��� Cvere.�-�— �►� y�5jF�3�`i6 y <br /> Te1�Ont h1�IlAtltlrossJ City St�to2v Pnone <br /> Me1-ro ���.�-r;� LG� �7�33 /s�F�r� S, �/�5 SeafF�e tJFI g8/3y �53-3�y-55 <br /> Electrical CotlVador rvtoil Adamss Ciry State/Zlp Phone <br /> i1/`C- TYLo�LR C�lo� �Q� 3y• 7y <br /> State license Number Contract Price of Work <br /> ��v.v+1� ii� I4rocc!' -�o'�� �iw�w�orLS <br /> Proposed Uso of 8wlding Ccntact Person (Plan Reviow) <br /> OoscriptionofWorktoBoDone: �� 4��tS ��i�r���� _ er.,�� r���..� <br /> E` � Tr.�i�r r� <br /> i �,' <br /> 1 <br /> NOTE: BERN RACEY AYS MEC R AC CAfl EUIRE�TO FEE a3y 1D <br /> ��ii � <br /> c ���� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I horoby ecr!!fy Ihdt f hove rend and exeminod(h/s npplicntion and know Ihe seme to Oo true and <br /> carect. 1111 provisiens olfaws ond ordinoncas govorn/ng this type ol work wi11 pe compfe(ed � � ��� , h I � <br /> �5hotha�Spocifiod 1ie�oin ornof. Tho grsn:rn,q Of B permit doos nofp resume to glve authorlty to �� <br /> v/o/o(o or concal thv rovision_ol any ot�iorsloto ar locellaw roguleling construcLon or tha <br /> perlormAnco o!con��uction, af I um guthorizod by thc ownor o/fhls property to poAomr tho <br /> work lor wn' h opp cot;on i etle end I tomply with fhe Sroto Contractors Low 78.27 RCwand <br /> 296.200 C. <br /> . 3,�?\ <br /> ign DOIC <br />