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V6/19/2012 N0� ?: 16 FAR �Q04���5 <br /> i _ <br /> ` �.__.� <br /> ELEC�'RICAL ��RMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9tJ201 <br /> 425-257-8810 - FAX 425-257-6£S57—www.evereflwa.org <br /> APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM 6 — (� —i Z <br /> C'�zo b -o� b <br /> �h�XC�'� 11 0'�"� Q-1,� 5L. <br /> PROJECT ADDRESS <br /> �venar�rv� cn�l-aa,c., ►ut'b'� ll�� i- % r- ,r.ut,N- G�Sz.c�� u� 4�Q� I <br /> Ovmar M I Address City 6toloRlp Phone <br /> �`a�� � <br /> Te�ant MeilAddfEe� Clly StaleRlp Phone <br /> �25 <br /> 1 �Uv�k hc�r�v .�. 2�u.Q ��"` � ��J mwnk�c�p ' a �ac�.. 4�s�• ��D� <br /> EIeCt ical Oontractor Mail Atldreoa CRy StetelZlp �' �'�'�j Phone <br /> ���'�},��9LA�l_4� q�Z� 'Z� <br /> Stata Lice e Number Contrect Prlce of Wark <br /> ���'`n Vbl.�n Ca (L�- A 1\����A-t/�Y OG� <br /> Proposad Use of Bullding Contect Person (Plan Revlew) <br /> Oescription of Work to Be Done� �.C'�M_��jy\�? `�'Q. � � � <br /> NOTE� WIF2ING IN NON-DWELLINGS IS REQUIRED TO ��� <br /> 9E IN f�ACEWAYS, MC OR AC CABI.E. I� � <br /> �� v ' I <br />� CI7Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I heraby certify ihaFf haw road and�xaminod this application and know the samo lo be lrue and f��20 (� �r� <br /> carroct. All pmvls/nns Q/l�tvs and ordlnances�ovom/ng th/a type o(work wiU bo completed C, K-� `F� <br /> wGe(her spaci�ed horom ornot. The 9�anling o!a pormd doas nat resume to gJvo outhonry to <br /> viofateorcancoltiio vrovlslonsolenyothorsfofowlocallawreguPhngconst�uctlonorlho �� <br /> podormenoeotconstruch'an. rlra�!amauthorizedbythao,vneroftnls mpar(yropedamthe <br /> wah lor whlch oppllcatlnn le modo ond I comply with tho State ConfracPrs La�v 1�27 RCW end <br /> 296 00 WAC. <br /> . l� 1 <br /> nniure �alo <br />