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Cet 30. i013_ 7 � 43A��i_�ound Se�ur � � y I �c IJo� 005%�P. 1/i <br /> � • <br /> ELEG�-RICAL PERMIT APPL�CATION <br /> CITY �F EVERETT PERMIT' SER�'ICES <br /> 32U0 CEi�AR STREET, EVFRETT, Wf� 9E3201 <br /> 425-25/-8810 - FAX 425-257-8857 —www.everettw2.org ( 2 � 3�` �� <br /> APPLICATIONS ARE ACCEPTED FRONI 8 AM 70 4 PM � � j f2�j-73 <br /> �y10 - " � �'-f� <br /> PROJECT A�DRE55 <br /> 0\vr1Bf M1'ai;Addrnss Cily Slate/Zip � Pnone <br /> �'��V WN�I�S�I� Z 5�•..� `7 <br /> Tenant ldail Adtlress Cdy State2�p Phcm: <br /> n r . t.��S <br /> ���n r�0� IC�f t�t� c�,�?� 1 �'L��.Ct�6r� (��P�- V���701 rt?�k-,3(�_�5 <br /> EleUricel Cantracto� Mail Adcresc C�ly � �tate2ip Pho�e <br /> �So�u� TP ��'��� 7 <br /> State License Number Contracl Price of Work <br /> Nroposed Use of Building Contacl Person IP�i� <br /> Cl�JI,1'� ' y{q <br /> Descriplion nf Work�o �e DonO�. ��__� I� d�'-�� � ��U V�_ _ _____ _ <br /> ��— a_ - ���',�' - -"����.t� -.-„-c�da�– <br /> —�—G���� a / __Z �� ,r� - --I_C�.�/ ---- <br /> - � r. � _ � -}C.G� -- <br /> NOTG: WIHIfJC IN NON-DW[LLINGS IS R[f�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CqF�LF ���}-� <br /> GITY UF tVERETT WGAL SAI.ES'I'N( CODE IS 1105 4` <br /> I hereby r.crti�y rh:+r 1 huve rc�ad and uxamined Uiis applicatron and knowlhn;eme fu bc 6u!: end � � �,� l Z — 1 � j <br /> corrr.cf �ll prwisinns r,llaw.�and o�drnanee;�ovominq tYe;(ype o(v;ork wlll Le complefed � <br /> whather sPa����od lie�oin or nof. f he��antin�or a pr.rnut does nct presurq�� fu ylvr, :�ulhanlv fo <br /> v�olale oi cance.�l thr�provisions ol nny othe�s(nfe or loc&I luw reg�-Ir�fing r,vr�sduc6on or lhe <br /> peAr,rmance ol r,onslrucGon. The(1 om outbarized by(hai o�rn�r o/(his ptoporry lo p�Aorm the <br /> rourk(or which epphr.afion Is rn�Je und I comply with the StaM Con(ractnrs Le�v iti 77 RCW anJ <br /> . 296.2 WAC. <br /> G_ ��� �� �/�3 <br /> �_, __ __ <br /> � o�nnat�re + I q Da� <br /> �V�I�C'l-�`- �.(�� `—t�� 1 � � �."r,�� , <br /> .� ..W l I V� �� ���U� , <br /> _ _ -- !� _ __.---_ 71��.--- - - --- <br /> ���'v�"_�-- ._- _ ------ <br /> � <br />