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na: n5,os ii:s; r:» •�oca,ssou•� .anr ���u' <br /> /OS o3-82 �--Ol <br /> � —.g ti 5- <br /> > <br /> ELEC�'RlCAL PERNi1T �►PPLICATION <br /> CfTY OF EVEREfT PE�2MIT SEhVICES <br /> 3200 CEDF.R STREET, EYERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-wvnv.everettsva.org <br /> APPLICATIONS ARE ACCEPT�D FROM 8 AM TO 4 PM -DEBR 8 CREDIT CARDS AKE NOT ACCEPTED <br /> 8�7_o ffa�-y /1/4�� �21a <br /> PR(1JECT ADDRESS <br /> �j7y(�p//j EN/rRdA1KEN1>h- Tc�t;nl�cp�� �i-7[• .�-S-3s3 <br /> ,l9icN�t. CAPia� �Gao /�4y lJaNs �l/o Ev�TT l.�4, y8�o� �d� <br /> Uvnef MailAdtlress CNy SlxteZp Phc+ic <br /> Tenant Mall Atldress Clty StslelZip Phena <br /> '?�..:. _.a <br /> l�OT �cua.��f ,�o•rc£s lISZ�/ ,tl����rnec�-/���.;�j IJ iF/os /�ot�.� A,�fi 58or/ �� <br /> ElecldwlControdor MailAdGress C�ry Stale/ZiD Phone �``Y`*`+� <br /> yzs=�fe8 -5z�f5 '��� <br /> f�/Jrse��aZos «^q�2T/os �Qoo'= <br /> Slate License Number �onfract Price a(Work <br /> ProposeC Use of Building Contact Pcrson (Plan Review) <br /> i <br /> Oescription of Work to Be Done: /I�S7Yh1' /�lG�¢�L.�/� �e'M'n �'S.T�M ' <br /> i <br /> t>���i <br /> k:_ - <br /> ,: y�.� , <br /> " `J1 NOTE: WIRING IN NON-OWELUNGS IS REQUIRED TO FEE <br /> ; BE IN R4CEWAYS,MC OR AC CABLE. �C ' � <br /> .:.`�1' ::'j �.J <br /> .r�.^ <br /> CITY OF EVEI2ETT LOCAL SALES TAX CQDE IS 3105 <br /> ���. �`,�. :,:::: 1 hereby cedi/y fhat I have read and examined fhis applicafion and know fhe same lo be Vue sr,d � <br /> A�..,�F+ correet. All provisions oflaws antl ordinances guveming this type oI work will be complet9p I <br /> ��-�a�?�; whe7herspeci�ed herein ornof. The granting ola permd doos not p�esume to give aulhonry to <br /> ,.,�; viWatearcnncel;he rovisionso/anyotheistateorlocallaw�egulafingconstru_uonor(ne .� <br /> �i performanceolcons�rucfion. 7hatlamaufhonzedhythdownerolfhisp ropertylapedormfhe i <br /> �, work/or which applica�'on is mad�and I compfy wifh Ne State Confractors Law 18.27 RCW and F�R'�,:r� <br /> '�� F96.200 WAC. "3. <br /> �'j8�ii 1.:�ia <br /> � cFi� .,.4a.• <br /> ���i , �/8l0� ' ' <br /> � ;� Signa�urc oat 5/ '� 4 ck <br /> � L%�L� " �.� �'� <br /> � <br /> i 6 ; . <br /> `�{ .� <br /> � <br /> �'t� F <br /> t � <br /> "t <br /> 1 . . ` �.�� .\ <br /> � �, .�..y � .-. � -� - ,�� <br /> ��,� � ��"' I! -+�r �.t . � � � . <br /> g ��''Y � i? ,i ,� .., ��k j. 9 <br /> y �yd, �`�G.v"° o ��` 4..1 � ( <br /> ti e�" ���� ' t �a; .�a Y <br />��p_.�:Y?e u � T . y rv �xic� � t �� , � � � • <br />�� � � c. . , � �� � .. <br /> � <br />� �^�- � '�� j .�, .� $'+�w! ,::'u t � ''t ( 4e? ta �." <br /> a,y'� -+y� _t4�^ o � u�. u� asx <br /> x��t �T �4 ��� .��`�`v�s, g �;p,. a�" n � �"X. ,y� '�p' 'j< � �9 4'� � '`'n: <br />$ 'F'�r��. _ �._��— _. ._._. �:i�5� y�_�_�?'s�.�'.�l - .u__,� _.�...�. <br />