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47g/f�fl/201» f1A:33 '?53288215'� <br />GAF,!J�R EIFCTRIC <br />ELECTRICA�_ PEKMIT <br />APPLICATI� <br />CITY OF EVERETT PERMIT SERVICE5 <br />3200 GEDAR STREET, EVERE77, VVA 982a1 <br />425-257-R810 - FAX 425-257-8857 — wvti'r.everett�va.org <br />\lal Pkl-�.�\�1�1 i�� <br />PROJECT ADDRESS , <br />TCnnnt <br />Ele ,r,rical Cortraaor <br />Mn�.l ACdre�? <br />M9il Address <br />AdUccc.• <br />�� � \ �� l F—� <br />Slete Ucenso Number (�eQuirod) <br />Proposc Use ot BudCi , <br />SGunre Pootayc (It res�dentinl new wnswction, romodel or eddltlo�y <br />Number oi device� (II low valtnge) <br />t7e5fJ1pS100 0l �ll�aftf (0 e0 DOn�: <br />� <br />Gdy <br />Clty <br />� <br />SlatC�Z'p <br />S;AmZp <br />54+ta!ZiP <br />PpGE <br />�2/02 <br />�i g�� `� ' <br />C—� �co;—o�7 <br />`���2�"1,_q <br />CYJ$ _ \ � l�. <br />ahorc I <br />I <br />Phono I <br />phone <br />���� �� <br />Giry of Evcrctl Bus�ness Llcanse Number (repwrod) <br />�Cantra�tit��Vork <br />����� �.��a��a <br />ontad PersonlCen;ncl NumbedEma�l <br />C(7Y 0(' EVERFTT LOCAI. SALES tAX COUL IS 9105 <br />I hr.rr.by cerfiry Ihat f he��e read nnd exe,mined fhis applkatlon and know thu same fo 6� Wc ond <br />corrnct nll provfslons ol lnws and ordlnances poveming Ihi; Iype ol work wlll bo u+mpleted <br />wheMer cpocA�ed hereln or not. Tnc prt'�ndnq ol a nermlf does not pr»sume to rylve authonty to <br />vrola�e or cencel the p�ovislons of ony ofher sfote or iocal law mpuletlny construclion or Ino <br />perfortnence o�consWction. TAat � am eufhonmd Ay tM1e owner e! fhis property fo per%orm fhe <br />viork !or vihich oppll�fion is made nnA 1 com��y u'!fh fhe Sfab Gontracfors I.aw 1�.27 P.CW and <br />FNi.�iED 0.1K.'i0:1 <br />FFE ,.�� <br />��i <br />PERMT7�t <br />EI�oQ� �3� <br />