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06�'05;'2006 66: 11 2532882� G�RNER ELECTRI: PAGE aSi'a8 <br /> ��5_ �o �p � ��, <br /> �����'����I�.I'������ ����� I'��,�� ����m����'`"A��, <br /> �� -�,�'" CITY OF GVER�l"T PEP.AJiIT S�f?VIGES <br /> �200 CF_D/�f� STREFT, CVER�T'T, 111//�90201 <br /> (k�) 42�-2a7�8o10 � F/�X�25-257-8��7 I (�) ev�rct�eps@evore#tw�.gov � v,niuv��.ev�rett�Na.go�i/permits <br /> ' ..' . , <br /> ,., : , .:'` � ��o����r 5M�'�; N���l�rin��N�ira.,:;` . ' � <br /> ,. <br /> , <br /> . , <br /> , ;,, ., ,. <br /> ,,. . . ,. <br /> PROJ�CT ADbf2FS5: ����� �N <br /> eU1LDING AR�A(if residel�tlal, new canslrucfion, remoclel, or�ddltton) SF <br /> BUlL�I�1G 7YPE: � S�R-DCT/�C!-4ED I� S�R-A`fTACHCD lml f�UPL�>C I�,T i1/IUI,TI�F/�MII.,Y-#OF UNITS:�„ I�COMAII�'�CIAL <br /> EJS�OF BUILD111[G: _ _.. <br /> ' ; '' , .'� , ���tl�'�►'�"���I ����b�h9�;�'�'Ia��� .. <br /> �i , 1N' � <br /> . ,�.�, >.: �., ��,���'����il.. �$,�, , ,. . .>. ... '.: ' �. <br /> CONYIR,Q,CT 6'�I��O!F lll/Ok2l�C: $ � � 'i . )`n <br /> PlUi111B�f2 OF�J1�1/lCES if IoW voltage : <br /> �NFc� A�ANZ9V9� ❑Y�S �'�1O <br /> ASSOGQAT�� �i�I�.DIi�G PER�IAIT# if ap Ilcable); <br /> pESCRSPTIOIRt O�11110RI'C: <br /> � � � � ..� � <br /> ;... . <br /> CONTdCT ��1�'l��'�VIAT�O.� <br /> OWN�R NAME: �`�;�r'� ��(�irT ___ TCNANT NAllfl� If Commel'Cial : <br /> � _ ���� ,�. 3 , ,� <br /> OWN�R NI�I�.ING ADDR�S , sTRFFr l '�, � <br /> r.-... � <br /> f;IN � STATE \/`�,� �:Ih lf� � � .,L.T <br /> � <br /> OVvN��i M�f�ION�' - `�.. - �VIINER�MAIL: <br /> ... . ._._.. _ .....,,.. .. _... _ _.,.,..,, . - <br /> . . .. ._ . . , ._.... ... ..., . <br /> _ _. .. <br /> ,� ` <br /> CONTR/�CTOR NAME -1( � " �._* <br /> CONTRAG�Of�/�DDRESS; �TreeT �� �+ r i �. <br /> � �i� <br /> � �. <br /> cirr �. )� � srATF zm <br /> CONTRACTOI�PH�N�: �~j - i�; ;,�..-' 0„!7 '� �ON7R/\CTOR C111fAIL: ��� �`J �� _ �` � (.. )�`� <br /> ,r �� �4: <- CZ <br /> GO�ITR/�CTOR LIC.#(R�QUIRF_p� ClTY OF EVER�7T RU5fNE55 I.IC.#(��QUIR�f���`�- .�) <br /> , ,,,.. . . . _,. _.. . .. ..,, , _ .,..,, ,. .. ................ „�.,., ,. . � �t -- �,.�.� _ <br /> . , ...,._, „ _ ,.w,.... .. „, ... ..,.,. , ,,,.� <br /> pF21MnRY CONTACT: �O1NN�R �,CQNTRF�CTOR I�O"rw1�R(P[�ase 5pecit�J} _ _ <br /> CO TACT 1VAHII�: CONTACT PHONE: `� '�.-C��'�-, -- �,(`������ <br /> ' -� � <br /> ` d�� �� � CONTACT�IVIAIL; .�,�. > (!�,� '� � ;''. <br /> /IGREEMENT.•T horoDp certlly thef I have rP,ed end oxarn7ned tNis appllcaflon and lcnow tl�P same fo bo truo�nd correcf. A!!provlslons oflau�s�nd�rd�nences_qo��erning fhis <br /> type oi worl<wHl bo enrnplefed whefhor specTfied Ircre/n or nof. Thc c�ran(Ing of a perni�t does not prasermc(n glve eufhorlEy fo vlol:�te or cAnca!the pmvJsions of any ofl�er ste?e or <br /> loc�!l�bv legu/3iln.q cnnstructron o1'ihe pedormanre o(conStruCt/ol). 1719f 1 Anl sulhorized by fha ownol'nf t17�s properfy(o per'fnrm 1he wor!<(olWl�lr,li applicatfon Is m9de end 1 <br /> comply w/th the Stefe Contractars Law 18.27 RCW end 29Q.7,no W/�C, <br /> crry orrvP,�rr ornci�r uGe o„iy <br /> FFr_ <br /> �S �— <br /> � PERM'i'�� <br /> ��Jr � � ( Q �CI <br /> .�:�:�.�.�'�. , �.� ��� � �=' � ��--I, i � ---0 <br /> , <br /> Ov�rnor/Authorizr,d Agent SignatLfro bc�to (Revised 90i9?/!0'I6) <br />