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Jan 16 09 11 : 33a P• � <br /> ELEC R �►L PERMIT AP LICATIQN <br /> CI O VERETT PERMIT SER ICES <br /> 3200 DAR STREET, EVERETf; WA 98 i <br /> 425- 57-88 - FAX 425-257-8857—�wrw.ever ttwa.org <br /> A PLIC ONS ARE ACCEP7ED fROM 8 AM T PM <br /> r� <br /> � 9- �( V�u� k /� � � <br /> PROJECT ADDRESS <br /> ...._..� , �� �r� � <br /> Owno� h II Adtlro Cl,y taU?Jp�Su`'1/ Phona I <br /> � � � l�^�/ <br /> � �- a <br /> Tenant �.� n�.eare ciry suiRmp rnors <br /> � �� c ` � <br /> CleclrlCBi ntrBCtor ht II AEtlro clry Smta p Phone <br /> i <br /> \ � <br /> SWtO Liconeo NumCer Co troct Price of Work ' <br /> Proposoa of Bullding C tacl Person (Plan Rovtow) <br /> Descdpllon of Work lo �o C'one: � � � <br /> NOTE: WIRING IN NON-DW6LLI GS I EOUIRED TO FEE � <br /> 6E IN RACHWAYS, MC dR AC lE. � r7 � <br /> u � <br /> CITY OF EVERE7T LOCAL SAIES AX CO IS 7105 <br /> I <br /> !heroby ceRlfy tnot 1 havo rt3cd end e smine +ls eppllCAUon 6nd krl0w thB Ser1�B f0 be truo nd <br /> corrocC. All provlslonS oflaWS and 0rc��nence �reminp thls bPa ol work wiq Co compfofed <br /> whothnispe_/fed he�B/rt Ornoi. Th9�jront/np e pomilf doas nof rosumo to glve auihan o <br /> v!olete or cancal the provlslals o!ony o;ho�S or lccof fnw reguPUnp c�nsWc:ion or the <br /> peAomrance of constrvcllon. !'hot 1 a outho od by the owne;GG�Is arcpeRy to peCorm t <br /> woM fo�whlch oppNcaJon Is metle en I com wllh tfre SfAfe Con,rnctors Law 78.27 RCW nd <br /> 255.200 WAC. <br /> ` � 6 - i <br /> ip wr� a:e /� � I � � / <br /> � <br />