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�z/iei?oos io:z9 a�saog52ee rGr� az;oi <br /> i— -- — <br /> E�.ECTRICA.L. PE�IVIIT APPLICATIOM <br /> CITY O� EV�RETT PERMIT SERVICES `� g <br /> 32U0 CEbAR STREET, HVERETT, WA 98201 a`�� <br /> �25-257-8810 - PAX 425•257-8857 -�wwi,everettv!a.org C�g02.-1� <br /> APPLICA'fIoNS ARE ACCEPTED FRO�d 8 AM To 4 PM �pEBIT& CR[p1T CARdS ARE NOT ACCEPTED <br /> �o0a S� ���v�`-z-- an,��� ���Zn <br /> PROJECT Ab�FEJ"S <br /> Owner ' r MailAComss CI!y 3tate/2:�p Phone <br /> QA{L��- ,e►sP�� 1 ooa � Eu��,i ,wt-c.� wA-y 7,�(0 �1�� <br /> Tc�acl M�il Address Clty State/2:ip Phcne <br /> ��u_�w� <br /> I ���i.< <,� �.vtc.cs IlBZy� r.lczn+__ co.F��kw��1 .�I�S �(Q�>�i 4�5�Ft� ��45 <br /> Electdtsl Contractor Nail Addroa�- Clty stawrz�p Phpno <br /> I (�-�i5ESL032o�, �-2,�i•cx}¢�_ Y2�• °� � <br /> Statc L;cense Numher Cantrect Pdce ot Wark <br /> �v�F�X 25--�-3�� ��! ��4- . <br /> Proposr.d Uae uf PUilUln� Contact Person (Plan Rovlaw) <br /> Dcscription o[Wcrk to eo pon�; � �S,l°(t-t... 1��..� �D �-"� 5Zc_i���tij �+/y�er � (� �c111�.�� <br /> �__.__�. �..�T_ <br /> � `d07E: WIRIIdG IN NQN-pWELLINC4S IS REQUIRED TO FEE <br /> ' BE IN RACEWAYS, ��AC oR AC CABLE, <br /> CITY OF EVERET7 LOCAI SAl�S TPJf Cd�E 19 9705 <br /> f heioby cch!/y fhat!have read or7d oxA/711tlAd thls eppflcafion nt7d know the same!o bc�fNa and <br /> eon'e::t. n!!provitro77c o°l�ws and ordinnnecs governln2 thfs type ef wrork w;�l ba cornpia(od <br /> whou�er spec;ned herein or not. rno pranring o�e permd doas no:Arosume to glw aufhor�iy to <br /> vic�ato or concef lhe p�ovis(on:n/�ny OfHersfafe CNocallawrogulafing consi�uction orthe <br /> poKnrmance aI construcl/an. 7'hnf 1 am oufhodmd by tho owner of(hra proPorty to pe�fonn tl�e <br /> wvork for which eppllceflon Is r�rodc nnd 1 cumply wi:h fhe Stato Conincfors L��v iB.27 RCW and ' <br /> 256.200 WAG. • <br /> � � . <br /> ��c«1'--r „'�n�-, Z-1&'-D � <br /> I ..i9nolv;a ❑am <br /> �OSU? -� ��--I <br /> �__.____ . <br />