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Jun 01 09 05:57p Arthur Vdagner 35055b5425 p2 <br /> ELECTRICAL PERMIT APPL�CATIUN <br /> CITY OF EVERETT PERMIT SERVI�. =S <br /> 3200 CEDAR STREET, EVERETT, WA �8201 <br /> 425-257-8810 - FAX 425-257-8857 —v,nwa.everettwanrg <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � 1���r� �v� <br /> PROJECT ADDRESS <br /> � �/ G� l� d_�l�I��� i <br /> Orvncr !da�l hddress C'y SlataZip Phcnc <br /> �/t,!«—�u1»'1 L� <br /> Tenant tvt;7Aodresz ciry s:atel2'.p Pnanc � <br /> C 3 Z.11���rL 113� T-�HsT,r�a �f2r� '�� T�..��: �o. 4�315$ � <br /> Electric3l Contraclof PAail Address � State�Lp Ptwne <br /> GS E L E k"5 q(n(c +� 7 5, 5 Ic�, — <br /> Siate License Numtcr Ccntrac;Price of Wcri: <br /> � �� �J�1 � <br /> ProposeG Use of Bu:Iding Ccn�act Persun (Plar' �viow) � <br /> G:�cTIpllcnol�Yo�ktuBuDor,u: L(�/'� /j7�� ��v�% <br /> i NOTE: Iti�IRING W NON-DWELUNGS IS REQUIRED -0 FEE <br /> �E IN RACE1bAYS, h1C OR AC CP.BLE. <br /> � <br /> � <br /> GITY OF EVEREIT IOCAL SAL[S 7AX CODE IS 3105 <br /> 1 hr.reby cert4y!ha!1 Irai�e read and or�mineC Ihrs o�olicafion anC kne��;he samo fu 8e frue and <br /> ecvect. All previsions c/laws and ordinances povenunq;his l��po cf�:�o�k will tre cempleted <br /> whether speufietl herwn orn�t 7he granGng c/a permrt dcss not presume!c give�uthority to <br /> woJafe cr cancol(he prcvrsions ol any oL'x�r state or l�cal!aw rcgula(rno crnstrutli�n or the <br /> pedormarce ef consWchcn. That f am authorired 6y ihe cvmer d(h;s preperiy!o per.*orrn!he <br /> I �rorrt lor a.iNch euplicatlort is rr�ede anU I r,cnipty�vitl�;rie S(dfe Ccnfraciors La�v 18.27 ftG'N anU <br /> 7.96.200 WAC. <br /> i � <br /> I � I,t� (�- J -�� (v o�+/ <br /> �igna.ure �„e �j�D <br /> , <br /> �--- -- ---- — <br />