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Feb 021501:29p Ferrin Electric Iris; V3377746 p.3 <br /> ELECTRICAL P <br /> CITY OF PERMIT APPLICATIONEVERETT PERMIT SERVICES <br /> 32Q0 CEDAR STREET, EVERETT <br /> • g I S i__ . 3"'" <br /> 425-267-8810 - FAX 425-257-8857 • WA 982Q1 <br /> • <br /> s �,,L <br /> i <br /> PROJECT ADORESS 1 <br /> tl(- IL N <br /> Ownerai 16111- 1\6•4,641i`j-DC ; ,1 <br /> '� ' ` - d <br /> • <br /> StaterZp <br /> Tenant Phone <br /> P4V)( iMalt Address <br /> -p ,, <br /> "' ;r +[—ctf i��, •. 1 City <br /> State/Zip <br /> Phone <br /> 'Conhac� Mall i ,t� C <br /> c,�. 5 33 53i <br /> seam. Stater-4p <br /> -CC r` 2.i i Phone <br /> State license Number 1V <br /> L.A." 11.2 0. Centred Price of Warp <br /> A <br /> ProP• a use of Building <br /> Contact Person (Plan Review] <br /> Square Footage(IT rat <br /> newconstrucraon,temodet or addT�on) <br /> Number of devic s(if tow voltage) <br /> Description of Werk to Be Dane; (�a qi i / <br /> 62 L/...2/\ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 FEE <br /> I hereby Y that]haveanOri <br /> correct R7F visions of�a � nai oes aullninedphis afsplice6on and know the seine to be Ci?C r/v <br /> correc <br /> whether Il inions rr cruor d o governing this# ofwo*wi(1becompleted and <br /> violate rspe ce!the rein or►ns of a g ofa perr does not <br /> violteorca of l the <br /> provisionsat any otherstate or kcal law presume co to aufhore7;rta <br /> performance fk for which s ode and/complyI am authorized <br /> th b the ownerofthiis construction top n ifre pE ( ' <br /> 2g6.20U Vl/I#C. State Contractors�any�8�7 C y�and "" 1,�® z,--0 c <br /> .1....C2 i2,L. 0 ........_ <br /> Signature ^; --// <br /> Date J <br /> • <br /> M(4513)3120'13 <br />