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11/12/2D09 THU 10: 25 FAX 360 805 0287 MILNE ELECTRIC �012/O18 <br /> II <br /> ���������� ������ ����'������ <br /> CITY (�F EVERETT PERN1iT SERi/ICES <br /> 32Q0 CEQAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX�425-257-8857--www.everettwa.org <br /> APPLICA,TIQNS ARE ACC�P`f�D FROM 8 AM TO 4 PM <br /> ,,� _ � .-- <br /> �?�� .� � ..1. r.:_.�...��< �v ri;ra�� /s�..;:��� � ��� <br /> PROJEC7 ADDRESS <br /> /�i'fz� ��:�C:':�fL��9 C..:t��j��n--'�� <br /> Owner Maii Address City State/Zip Phone <br /> I"��-��"/���� � <br /> Tenanf tvlail Addr Ciiy ft State/Zip Phone <br /> ,` <br /> /�'?fL lC.,�;,.. G.. :~"� �'./ . J ��• S � L+�s ..�a�� .,`�.>�'~ %d���rl./I'�t`�f�`�-. �,�� <br /> Electr,i�C1ai Contractor Mail Address Ciry j State/Zip Phone <br /> � C.�;��<� � � �J" ��, .� - C'; �� <br /> ��� �����..���� n� ;` � � S�� ^ _ <br /> State License Number � � % Confract Price of Work <br /> U77 G � �7�� � ; <br /> F <br /> Proposed Use of Building ''�,� F'� Contacf Person (Plan Review) <br /> � � <br /> , <br /> Description of Woric to Be Done: C-- � � � /� � v' ;� ����:. r //�/s'�'�Z� C.�• <br /> � C.4.�p S"'I�. U 7� l.. C.-c� C ��?�...�J r'l�Gr�..I`. i /C.�j.._.(J��. � �, <br /> Cray/`-�l�l "'�,�-- � l� �?�� ;' Y `7' G�'2 � �l�-v(✓l��:.� �.,.i� 1� <br /> �� �c3G✓1l�1'/(J ' L.. C7n� L.�✓! i� (�✓�, <br /> i <br /> NOTE: WIRING IN NON-DWELLINGS IS REQ En l'O ' FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � <br /> $ <br /> CfTY OF EVERETT k.00AL SALES TAX CODE IS 3105 '� <br /> I hereby certify fhat!have read and examined this application and know fhe same to be f�ue and ��'` 4� � 7' <br /> correct. All provisions oflaws and ordinances governin�this type of work will be complefed <br /> whefher specifred herein or nof. The granfing of a permrt does not p�esume fo give authority fo <br /> violate or cancel the provisions of any othe�state o�/oca/law regula'ting construction or the <br /> performance of cons(ruction. Thaf l am authorized by the owne�of Ehis properfy to perform fhe <br /> work for which application is made and l comply wifh fhe Stafe Confractors Law 98.27 RCW and <br /> 286.200 WAC. <br /> __--_.� ��---����.- `l�d/� <br /> Sig ture Date <br />