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ELECTf21CAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREEI', EVERETf.�NA 9£i201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa�or9 � /6`�Z <br /> aPP��cATioNs Ar�E ncCEPTED FROM s nM To a PM G��a_o�� <br /> I OV l DD lS%l "' l/!VC/ ;l� ✓�vl �� s�� �U I��� <br /> PR0.IECT A ) <br /> l ,��r�✓ /�_ �r� y l r� �3�� <br /> C�, hatc20 P��mw <br /> OW�1Cf Mo�l luldfcII <br /> //i �d�lG�D , �� <br /> I�V PfxNp <br /> Tdnant , <br /> Moil l�ldres� �� S <br /> Prec�sl�n �f�c�� �,��� �,2vs�i���i�<�<a S�- ��m�1�w �r� s��� � <br /> E�ecViCnl Gontracior Mnil Addre�rs <br /> �,� s��� �,«,� <br /> . G eG�� �� 'LD�� D� <br /> Contrad Pnco of Work <br /> Stale Ucense Numt�r / � �� / / � <br /> r�� � ��� l�fl�l�rlG� _ <br /> Contxt Porson (PIo e��) <br /> roposed U f Bwlding <br /> Descnplion af Work ro Be Done' <br /> �'�f� ��� <br />• NOTG: �YIRING IN NON-DWELLINGS IS REQ�IRED TO �E <br /> BE IN RACEWAYS, MC OR AC CAEiLE. ��J� 'J <br /> CITY OF���T LOCAL SALES Tti.CODE IS 3705 <br /> I he�eby cwfilY f�)a�1 hove read ond oxamined Uiis dpPij�hpn anJ know fhe same to be true and � I � �-� — �J� I <br /> carect. N�pro�sions trf I+�ws and ordinanCesCo veming Bus type of work.viil bo Comp��od <br /> whother specr8ed herom ornoL The granhng brd pofmit Uoes nof presumo io g�e aiAhwity to <br /> violat�or cdnco!fhe pmvisons of any aher stt�te ar Incal low re{�ulatlng constn�chen or the <br /> per(amanx o�construciion. Thot I em aulhonLod by Uie o�rner o/fhis Araperfy to perfonn tiw <br /> wnrk for which application s rnade and I comp�Y W�h d�c Stafc ConiractOrs Law 1Q.27 RCW and <br /> 2fl6. W�G. <br /> /� � ' 2 Il� l2 <br /> . y�nntun. �ate <br /> �..--^- <br />