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Oct 07 09 0�:15a <br />p.2 <br />ELECTRICAL PERlVIfT APPLIGATION <br />CiTY OF EVERETT �ER1fliT SER�'ICES <br />320Q CEDAR STREET, �VERETT, ���A 98201 �� `� _O� <br />42b-257-88 i 0 - FFJ; 425-257-8857 — x�vw.evere,-i�va.org. <br />/+PPLICATIONS NRE ACC=PTED FRO�A 8 AM TO 4 PId �O�/� y o a� <br />`�L'll� ��,Oc'-rr�-t Ll'1 <br />PROJEC7ADDRc S <br />U•mer <br />Tenant <br />,- i � <br />Elecn:ai ConlraKor <br />��L 1_� L . �. <br />r �il ntldlcs. <br />t.7ail Atldre:s <br />�� <br />��� i � � 11i {. <br />..taa quyress <br />��r:l�.; �.:T, .1.� I `l l.I� � % l.� <br />St�te License WumL•er � <br />Proposed Use of Building <br />L' i'_ i �� <br />Ciry <br />Cf:y <br />�..1 � L� <br />!' <br />ci:y. <br />SIaIrlLip <br />Sta'e�Zip <br />(` +z �� 3''-I- l�t• :�-1 <br />siai�a;� <br />�' �%�i ,1_l <br />C�nha� Pri� ot N/orl: <br />Contad?crs�n (Plan Rev�e�a�) <br />Ahone <br />Pnone <br />Pnone <br />Desulplion o` VJorA l0 4e Caoa: ��1 �'-1 ���.�� l/ . CL �. ri il i� �'1-� <br />NO � E: Vl9nI\G {h Np1-Dl4'E�LI\GS'IS'F.EQU:FED TO rE� I <br />6E IN R�'.CEVl5:1'S, MC OR ;C CP,E�E. <br />I � <br />CIT1' Or EbcRETT LOCAL S.4LE5 T,4X C07c tS 3'CS <br />I h�reby a_rtily that I h�ve read and azamine9 this applic=Pan anc kpp.v che sam� to oa tn.�= a-,c <br />ccve�t AII PfJ1'IS:OIS 011'a\':5 0i1d Jf�71q3fiC_S a�✓em�n� this 1�p3 ot wo:c v:il: 5e co.^alete� <br />rhe7her spa� �iad hz: aia c: �o;. The y^ar.;,n; �' � oerr.. : d�s not �res��me tc q.aa a� nhori!y t_ . <br />�•iolate or cancW the prnvisi�ns or zny ener stace cr �xal laa• .-ecuic,:ng ccns;nxiion or the <br />pe�famance o` carst:��ca Th�t I am autoa�; �a b�� ih.e o��:,�_= oi ;his pro�ery, � io ce=orn th_ <br />���ork for which appli::;Ucn i= ma�e a�d I comoly a:th the St�te Contra�'�rs �La:� '827 RCb'J and <br />26c.eDi. L�+nC. � <br />��. <br />.�,,: �—� _ ;.' I c I c�. I�: �, <br />,' � � r� <br />.. � (, � L� <br />