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Sep-27- 11 04 : 19P P . O1 <br /> ` <br /> ELECTRICAL �EwRMIT APPLICATION <br /> CITY OF EVERETI' PCRMIT SERVf�ES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-881� - FAX 425-257-8857 – www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM T04 PM <br /> a�o 3 .�� �� <br /> PROJECT ADDRESS l`z� <br /> Z�',� <br /> fi��t, a�h�.�Av��,f�l �30��1� � �l/ ��'�i 3P�'6 <br /> Owner htail ndaross Cuy s�aco2ip Phcne <br /> 70118n1 Maii Addross Clly SIaIWZip Phonf <br /> �}��CrLtIJT�I� _�/y(— ��/ �l/ �9.il.—J�!/ !/�_�t�l► �� �7 .�/!! / <br /> EIPClric3l COnff2GfOr Aiall Address Clfy 51ato/Zlp Phoita <br /> �iL/4 /V S'4I' I�Z� ASA�.EO �OtL S�'F�.t1OL/�!' <br /> State Licnnso Number Contnct Price of Work <br /> s�� --- <br /> Proposed Use of Buildiny Contact Person (Plan Reviow) <br /> Desr.riplion of Wprk�o Be Uono: ��/��_�����, _ �_ <br /> NO7[: VVIRING IN NON-DW ELLINGS IS RECIUIREO TO FEE � <br /> CiE IN RACEWAYS, MC OR AC CADLE. �� �� <br /> CITY OF CVERETT LpCAL SALES TAX CODE IS 3105 <br /> /homby cer7ily ihat I hevo road nnJ exaR)Iqed Ihis ap�liCB(ion anAi'now thn SBqiB to 60 Vue end <br /> conece All pioNsions e(la�vs and ord/nanros qovemmg this type cl n•ork wil!bo comp/etod <br /> whother spoci0ed herein or noc 7h� r�ranOnp o!a permd doos oot I�resunte(o yivo au(Ronq�to <br /> violate or cnncel the pruvisions ol any other stafe or locel lew rA�ule�ling const�uction c�t0e <br /> podo�moncn o(consTruclicn. Tlrat f sm authorrzed by tl�e ou�nr,r o/ 'h/s propeRy(o poAonn fhe <br /> wortc tor�vhich appl! Gun is u�sUe und I compl�-wifh the Slate Conuaclors l.atv 18.D RCW and <br /> 29�.20U WAC, <br /> �, — _ � u?� — ti i 11Z <br /> �`,!�q <br />