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07/05/2011 09: 12 PAS 42i 377 1A78 HI?S Ii1.liC'1'RIC �001 <br /> ( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES s`�� <br /> 3200 CEDAR STREET, El/ERETT,wA 98201 � ` <br /> 425-257-8810 - FAX 425-257-8857-w�r.evereriwa.w9 � 1/ �7�-c^I(J <br /> APPUCATIONS ARE ACCEPTED FROM t AM TO 4 PM <br /> � R��- 1' )V� /aV� � <br /> PROJECT AODRESS <br /> a/ 1;��'l� /�ros P D 3�x 5�¢G EUUE+I ►�+1& �1'0 Zolo N Z5`�r� <br /> Umer <br /> rn.0�erau cM ste�eroa <br /> TanBnl McM AdEisa� <br /> cM sw.rzp P"°"° <br /> `� C� FGIPGI�f� L�J"E+NIGP. ��i� 19'��srNE �Kp.Sre�rM5w�R8z50 9Z_ u-'iy <br /> �, su�.mv vnons <br /> Elearipl ConVaclor M�p�°� <br /> R����sR�ZNy _ � 33Hb °s <br /> contrea rrloe o�work <br /> Stele Llcense Number /� <br /> ���n R �1� /��✓�VT Qv'V✓�„ � CoMad Penon (Plen R�view) <br /> ProposeC Ux of Building <br /> Description of Work to Be Done� <br /> �+�20 � �' ��°IC� � —flZ F���-��'� 5 W �r�'^ <br /> � �w j� /.O�n^�°n�en-�5 <br /> NOTE: B IRN RACEWAYS MC OR ACICAB EUIRED TO <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE 18�106 <br /> I he�eby certify fhaf 1 heve roed and examfned fhis application and know the same to be fnre and <br /> oprrod. All piovislons ol laws and orr/inances poveming fhis fype o!wafc wii!6e mmpleled <br /> whethor specfietl he�ein w,nof. The prnntinp ol a portnd does rrof rosume fo glve authorify fo <br /> v�olate or cancel tha P�vNs�ons ol any ofherstale orlocnl lew roguPefinp construcfbn orlhe ` �/ i, <br /> porlormnnco o/rnnstrucfron. That I am authonzod_by the owner ol this prope�lY fo Per(ar��he �'O� V <br /> 296 00 WAC.applicabon is made and I cump7y wdh the Sfefe Contracfors Law 18.27 RCW and <br /> �rv�-- 7 ���.o i� <br /> IpnaNR D IB <br />