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1'_'i'�9,'��OL2 12: 49 4253559753 '���.�r'�I::E _�-� . .. PAr_-F_ 01/01 <br /> � <br /> ELEGTRiCAL FERMIT APF'LICATI�N <br /> CITY OF EVERETT PERMI7 StRVICES <br /> 3200 CEDAR STREET, EV[RET7, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE AGGEPTED FROM 8 AM TO 4 PM <br /> /: —a'cJ—�� <br /> G�<,..`-� �ti�,..n o-R;�L i��..-k � o�� z -/2Z <br /> 10/O�E Ivi�l1 ln/r, �r C�,�, .Q �l� �,� �� W,y �'fOZY3 <br /> PROJECT ADDRCSS <br /> Owner IAau Fedrecs ciry st�i�2�p Pr,one <br /> �-�11��5 (��tvDi�O �301 �A/�It�fl( G7r j���vzt Mb�ZI D� Y�o- S9`1 •3�/_ � <br /> TenanT Idail Address Gify ata2lp Phcne <br /> _,� �IV\�, lD'vNl ({y�ilO�iCi9S /23r7F'k'��� ICiJIInSc!/i /�tt I' w,li U NA��ld��5 �(2.�- �-(�"� <br /> Electri 1 Cvn�raC�or Meil Address $�.\,i L'1'I Cib �ate�7.lp pnona <br /> S�ate Licensa Number � G����t Pri�ork <br /> C��c< �, �c.� l.'��sr,�, �.tiK-z <br /> Proposed Use ol uildinq COOWct Person (Platl Review) <br /> Description of Work ta Be Done: ��v.a'��.� i f a�` � � , ;,;;-$ �i,.b�, y,�. <br /> nSkr 11 � <br /> —�ix3_�µ.<;.i,•,((.{ kr�� I dc�+r._ r ,J j , _,•!/i�G; ri,g, 5 <br /> i <br />� � <br /> � N07C: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> iBE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERET7 LOCAL SALES TAX CODE IS 9106 �� r <br /> l ABn3by certify thaf!havo road nnd ezaminod th�s epplicafion and know Ihe same t0 be troe and �+�-���!��a — � �� <br /> correcL All provisions ollews and orrlinancQs gavem�ng this type ol wodc will bs romploted <br /> whetAer spec�Ced hP�m or noL The yranfing ol a pormd doos n0t OreSume to yivo authonty!o <br /> violote or c�nCel(he provisions ol mry ofher sfate or/ocal law�gu/sfing conswetron or tho <br /> porYom7once ol const/�efio0. That I am authonz2d by fhe ownOr ot fhis�roparty to po�torm lhe <br /> wo�k(or ivhiCh apAlicafion is moCa antl!ccmpty with fhe State Contraclors Ca�v 78.27 RCW ar-,J <br /> Z96200 WAC. <br /> �%��i-� .�f�-�'�- z�, <br /> � —1��awio � � ate ���� <br /> � <br /> � <br />