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08/11/2011 16:58 253-631-7754 <br /> PROVIDENT ELECTRIC PAGE �2/02 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8II10 - FAX 425-257-8857 —+�•everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � I a � P�a� .1 t� Av� <br /> PROJECT ADDRESS <br /> � W� l 1� a i,� l P-oc1�e -e f ler Av� �V�re;t IN.4 4�25- Pn`I�-�o �7 <br /> Ownef <br /> h7a11 AdCress City Stale2lp <br /> OWI�� ���, SlP1eIZip Phone <br /> Tenant Mall Addres9 <br /> �i'UVt�ent' EI.eGlYi� 1��� <br /> Po �o� 7v�i covu��� W� a5� -��-77yo <br /> Etectrical Contracto. Mall Add�esa <br /> Clry �-stole�zfp rirorro <br /> PR-o✓ i ei 10 3 c- Z. �v��rox `� �oo <br /> Contract Price of Work <br /> State License Number <br /> 5�.,1cr I e��c��-PM i2�51 d,r.��.f <br /> 1•�vl� a53-� �r-7�� <br /> Contact Person (Plen Review) <br /> prpppsedY�se of�uilding <br /> Descriptlon ot Work to Be Done: <br /> evri OdG� �P�'r'Vl��" �'+" ��'lS�"-G7t7 <br /> NOTE: BERN RACEW YS MCLOR AC CABLEUIRED TO <br /> FEE <br /> CITY OF EVER[TT LOCAL SALES TAX COO[IS 3105 �I I O O / <br /> con�cby�l!prryav�ons o��3ms ond o�roX'Inar7ce�BovemPn p�th s t�e c'�o��il1 be complefed 3nd � vU <br /> �v,Hether speafied herein w.noi. The oranbng ol a permlt does not preaume fo giv,3 authanty to <br /> �olale or cancol lhe provis�ons o7 eny other state or ycau�w regu�ntmg censtructionerfomi tho <br /> I nAovnanco olmnstruction. That I am authonzud b the ownor of this proporty fo p <br /> �,�ork for wMch appi,cation is made anv f compry�aith th�� Stafe Conhactors La�ti�18.27 RCW snd <br /> 296.200 V✓�1C. <br /> � �� ����i pate" � � ( <br /> � <br />