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_iHld-q-2G12 Os�=GP FROM:PE�FE��� 'tiL ELECTRI 360 435 1182 ��4252576857 P.1�1 <br />ELECTRICAL PE�IVI�1" APPLICATION <br />;ITY OF EVERETT PEFcMlT SERVICES <br />3200 CEDAR STREET, EVER[TT, WA 98201 <br />425-257-Bf310 - PAX 425-257-8857 — tvww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�.-� � �P A ivn /.i/'/✓� <br />PROJEC'f ADDRESS <br />,•� <br />Tenant <br />Eleclrlcal Conlraclor <br />L C 7 i o N.. �r»..l.,�. � <br />h7ail Addmss Cl�y <br />Idail Addrass GIIy <br />N i r �.�, �• Jp�Li 2�/ c7 /7l � <br />M11all Addmss <br />Clty <br />State Llconeo Number � C��,� q( �' �p�r � <br />,�,}(gf� <br />� « s. 6 �� �»,; r�,�,� <br />Proposod Use af Bulldlnp �?O!} <br />/� ��, S ;Tl y <br />�J E/-U//� <br />-v�F S�dl <br />SWte21p Phone <br />Stalo/Zlp Phono <br />. , / .-/0�.�.3�V ��l�V <br />Slolo/Zip <br />/OO t. <br />f� <br />Conlract Pdce of NJork <br />Contact Porson (Pian Reviow) <br />Doscription of Work lo Bo Dono: 1�-. J��c // .S n c�ti �' ' •���,�ro�•C�o,,, >'— <br />� /ti /i f<' / /�l /!/D/J � �,' c�/cc: p�� --- <br />NOTE: WIRING IN NON-DWELLINGS IS R[QUIRED TO <br />5E IN RACEW^.YS, MC ORAC CABLE. <br />CITY OF EVERETT LOCqL SALES TAX CODE IS 3105 <br />1 herobyceCiJylhot 1 havo road and vxnminod (hls oppllc <br />correcL All provlslnns o(lnws nnd crdlnancos povornfop <br />whethorspecilled ho�o/n ornoL Tho pmnflnp ofa pernu( <br />v/olnfoorconco/fho prov/s/onso/an}�ofhorsfatoorlocnl <br />oorformanco of constiucflon. Thaf I am authorizud Ly Ihe <br />ivork lor �t�hlcli appllcat/on Is nmdo end I comn�y wlfh fh� <br />'lon andlmo�v tho samo fo <br />�Is t}Wo o/ �vork �vlll b� con <br />4;os not prosumo (o c�lvp a <br />ew �ugu/atfnc� constructlon <br />nvnoro(thls propertyfopf <br />�ato Cantrac(ors Lew 18.2 <br />�— C/_ / 9 <br />Phone <br />FEE <br />I � <br />and �./�UI-G`1� <br />to <br />and <br />