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t2/03/201G 03 12 <br />ELECTRICAL ERMIT APPLICATION <br />CITY OF EVER TT PERMIT SERVICES <br />3200 CEDAR ST EEf, EVERETT, �NA 98201 <br />A25-257�88t0 - FAX 25257-8857-w�.overettwa.org <br />PRQJEC7 ADDRESS <br />Ownof <br />Tewnt <br />EIeCNCaI CoMraclOf <br />Lic«nse <br />l� <br />r�c�� / <br />Mall Addrx�s <br />MaI1 Atldress <br />f'K Q <br />Meil Addro7c <br />naw consWclion, ruiriodol <br />Number ol 0ev�coc lll low voltaye) <br />Doscription of Work lo Be (k�nu: <br />GiV OF EVEREiT LOCAL 3Al-ES iAX COpE IS 3105 <br />GN <br />City <br />Gry <br />C5850 P 001/001 <br />�z� <br />a�3 <br />I �'��r 1 3�'.� <br />StaIdLO Ph � <br />SieW/LiP Phone <br />o �D� <br />,c�-� Phnne <br />� ! LG J l.k' � - <br />CAy nf Everen Businoss l.iconse NumDer (roqwred� <br />� � f a�. 3�3 0� <br />comraa Pdco or worx <br />Contact PersnNContact Number/Emad <br />! hxmDy certrly Nat I heve med nnA emmined this appli on nnd know tho samu lo bo Wn nnd <br />c»rroct. All provisions ol �nws ana ordinances govom(ng u fypo af wark wdl Dx cnmpintod <br />whofho� spxal"rod herein ornot. Tl� R���np ol o pormA os nol prx.aumo fo givn ouMarry ro <br />vldero or wncul No pron.vons ol any otnor statn o�local aw iegulxGnB consWctian or Mu <br />pwlomwncs u� con ctian. lhat I em aulhonzod Dy thr nwnor o( Uus propehy fo porlorm fho <br />worklor which ap caGon is mado anJ! camJ4y wlth Me le Conbx�ors Lnw /A.?.7 RCW ontl <br />296.2�0 WAC' <br />FEE <br />�� �g <br />PERM1Tx <br />E i�ll�- �� <br />