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Jun 01 09 09:57p AAhur Vt�agner 3605686425 p.3 <br /> ELECTRI�A�. PERMIT APPLICATiON <br /> CITY OF EVERETT PERMIT 5ERVICES <br /> 3200 CEDAR STR[ET, EVER[TT, WA 98207 <br /> 425-257-8810 - FAX 425-257-8857—��v�nv.everetNaa org <br /> APPLICATIONS ARE ACCEPTED FROA1 8 A�t TO 4 PM <br /> �S—''� lfa4/yl� �7» <br /> PROJECT ADDRESS <br /> -t-z�n-� �r�S <br /> , <br /> Otmer h13�lAddit�s C,ly SL�le2ip P!.cre <br /> S ? X 2v ���)e�.5 <br /> i Tenant r.tai�4ddic,s C ir s:�tc'Tp Pr.cne <br /> I . 3 Z-t �N7�'i�e I � '�� �,o+� Sz�rrsr f�-�u G T�.,J 1��� f �T�1 /��r <br /> I Eiectricai Contractor raa�i 4ddress ci�y � srate,zp prrn= <br /> ' c7c►�� S��c� n� � ���o � � <br /> � State License Kumber Contract Price at Ihbri <br /> �L]"7 W� <br /> Froposed Uso o� BuiWin� Contacl Person ( �n Revi��.v) I <br /> 1 , <br /> DescripLion of Work to 0e Dona: �������G �� �r <br /> NOTE: 1NIRIIJG IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACFWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LGCAL SALES TAX CODE IS 3105 <br /> 1 hereby cee�r�rt��t l hem�e read ar,d exemined this�pplication and kro�v the same fo bc true and <br /> correcf. !JI pinvisior,s af laws artl ordinances go��emir,g tYis type of wor��a•4f be comp!etod <br /> �shether s�;ecilied herem or not. The graniirg a.*a permd Uoes nct presums to grve au;honty to <br /> vio/atoorcanceli/vo provisronso/anyuthers;afoorloCalfowregul.:finycen5lrvcfionor7/ra <br /> periormance o(censtruc(ien. That I anr autlrcnzed by d7e ou�ner o/lhis praperiy fo pe�form the <br /> ��,orlc/or�vhich appllcn;�on is mode ard I co:nply�v;th tlre Sfafe Contractors Lari 18.Y RCW nria <br /> 29G.200 NAC. <br /> Slpnat.�re � �a� ^ � !, /1 <br /> �p V� <br /> CV� , D <br /> I---... _._-_ - �- - -----. ------- ------------------ --- <br />