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ll�/28/2014 11:3� 4256703922 <br />� <br />�i C�� �� C��d � <br />ACTIVE E�ECT� <br />(`U�C� �G��'Yl���. <br />EL.�ECTRI�AL PER11111T APPLICAT�ON <br />C17Y OF �VERETT PERMIT SERVlCES <br />3200 CEDAR STREET, EVERETT, WA 9E3201 <br />425-257-8810 FAX 425-257-a857 —www.everetiwa.org � <br />�D -a g-� <br />��y�D-17�, <br />PAGE �1/�1 <br />��1`6�� S�" . <br />PRpJECT ADDRC-SS <br />(�Mu�� <br />owner <br />Tenant <br />Electrical Conlracior <br />APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br />J 110 if'��Ji <br />Muil A�dfass <br />MailAddress <br />_ ivo�► r�/b <br />�eT�v�r �c����s <br />Statr� License Numbcr <br />ProposeJ Usc af Bullding <br />1k N � <br />6qufire Foolage (If recidenliat nevi conslruclion, remodel or addition) <br />Description of Work tu Br pono: _ <br />Ciry <br />c�y <br />Sla� <br />Slele/Zip <br />ell + �� G�ol <br />SIAIa(Llp <br />r�i,o„� <br />Phone <br />��,�: <br />Phonc ~ <br />� �„/l_1�J�� -- <br />Contract Price oi Work <br />Conlact Person (Plan Review) <br />NOTE: WIf�ING IN NON-QN1�LI INGS IS RFQUIRFD TO FF`� � <br />E3E IN F:ACEWAYS, �ViC OR AC CAF3LL . �� �� <br />� <br />CITY OP EVERC-TT LOCAl.SAL[5 TAX CODE IS 7905 - -` <br />I hcrehy r.n�frly that / lrovo road and o.+c.amineJlhis ep�pic,-�tinn und kno�.v tha s:imr. !o bo frua e�nd <br />conecf. A/1 p(uvisions ofla�vs Lnd nrtimances 7ovornmg fiiis lype of riork �:dU bo comploted .� E) � � .— l�� <br />vdiofher specdir.d heiem ornnf. Tho gronfing ot a permd doos nof pn:sume fo givg aedhonty lo \ <br />viol�fo orcnneol tho provislons olany otha st.9te or(or.al !aw re�,ulatiny consfruchnn orth� <br />p�do�nnnce o! r,ons(rur.t/on. That I em aulhorireU Uy Iho owncr oJ fhis I>rup�aty (n peifonn thu <br />wa�iNe whir,h �+pplicsUon is mUde and I r.omply vnfh fhr, Sfafe Gonfracto � L�ca 18.27 HCW und <br />2J6.200 AC. <br />�.� I��� ���� �-�—__---__ <br />