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�F.'019 :Evergr._en St.�te Heat � R%r' FRX N0. :42525966E0 Or_t. 2; ��:�9 F13:4�9P.f9 Pl <br /> E�ECTRICAL PERNiIT APi'LICATION <br /> CITY OF EVERETT PERMIT SERVIGES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> a25-257-8810 - FAX 425-257-8857-www.everettwa.org �� `2 3 �� <br /> ��!�'��`-��� <br /> APPLICATIONS ARE ACCEp7ED FROM 8 AM 70 4 PM <br /> Laz7 �as�,� Ri.c <br /> PROJECT ADDRE33 <br /> �€�- ���,ys �zz� t�ssu;7,� �r,� �= �a.a3 �L,�'-�3� -cy�.Y <br /> ownor rneunddress ciry Steterzro anone <br /> Tunent hlail Adtlraec Cny SletnlZip Phona <br /> �nc.�. sT- s�'rnr�rrz zito.Oflcifi� �� GY. 9B'� 3 y.15'az�z-�i <br /> Elec(ricelContrnctor IAndAtltlrase Cl�y State/Zlp phone <br /> ��LG.95 9�8'/1�i 3�� <br /> Stnte�Licnnse NumUor Contrect Prico of Work <br /> �y�' <br /> Proposud Uno o Bulltling Contncl Pcraon (Plen Revlow) <br /> Dascription o(Work to �a Dono: :AOO 1 CulQGLt i'T' �� �7 � �!-(/ir� <br /> NOTE: WIRING IN NON-DW[LLINaB IS RE�UIR[D TO FEE <br /> 6E W RACEWAYS, MC OR AC CADL[. <br /> CITY OF EVERE7T LOCAL BALES TAX COpE IS 9106 <br /> /horoGy cortily I�dl I have rond and oxnmmed 1hls applicnilnn nnrl know fhn anmo fa Un fare nnd CC��/ l l�-j <br /> cunect All pmvisinns olldws end orcllnancoS govomrng fhis typo o/work will ba comp�efud �� l l <br /> �vhafhor spnci6o�i heroui o�noL Tho�ranllnp of e peimR doas nofProsumo fo pN(a nidhorlty to <br /> viol;+�e or cenc�l tho provisrons olany olhor Stafo orlocollaw ropu nting canshuctron oi thn <br /> � pr,rlonnorr.n ol crmslruction. Thol l am au(horirad•'ry Iho ownurol fhls proporty to por;orm Ifro <br /> �rork lor n�/rlch nppOcofion is made and 1 comp/y�vir.�tAo Sfatd Controctors Law 10.27 RCW and <br /> 296 200 WAC. <br /> ��, /o%U�O� <br /> sigr--- ,n�— � onto " <br />