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Feb 0215 01:29p Ferrin Electric Ir��; 4253377746 p.5 <br /> ELECTRICAL PE <br /> CITY OF EVERETT <br /> APPLICATION <br /> VERETT PERMIT SERVICES <br /> • <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857_ evereftwa.org <br /> g14 <br /> :3"5 <br /> PROJECT ADDS <br /> #AC it. Llt 116mq <br /> Owner <br /> 'iD (} ,1 V °, 6� 1 ! <br /> Mai!Address I a, - (J <br /> ' <br /> • <br /> • <br /> City <br /> Stater4P <br /> Phone <br /> Tenant <br /> • <br /> Mail Address <br /> , City State/Zip <br /> 3ElecPhone� LL �tt, ,lti�� f , yv\ar (, G 1), as J <br /> Mail Address <br /> trical Contactor Sta»p Phone <br /> clor <br /> State License +rnber <br /> Contract Price of Mork <br /> A LA/IA. es r <br /> Propos=d Use of Building • <br /> re, q Contract Person (Plan Review) <br /> Square Footage tit <br /> new°Onstrucdon,remodel or addfion) <br /> NLimber of devices(If low voltage) <br /> • Description of Work to Be Done To • <br /> CITY OF EVERETT LOCAL SATES TAX CODE IS 3105FEE <br /> 1 hereby aerl�y that.!have read and <br /> correct fiflprrroaws examinedlhis c t 00 <br /> whetherspecirred application and f know v sacro m pe t and <br /> herein or-notn mg this fype of work will be repleted <br /> provisions ofa �ofape cfoes r of give ariffioritrto <br /> violate or cancel the of any atherstele orlocal few a g co st <br /> performancerfc for which application ction made andm l comply with the owntate Con/traeto property <br /> to <br /> nr fm the E ( S0 - 0 /3 <br /> L_) <br /> authorized by the ownerof this pmperlY fo perform the I <br /> 296.200 WAC_ <br /> Contractors Law 18.27 RCW and <br /> � ` �� " � l .3 <br /> CP.."LID <br /> ignatuis (�",� _! f <br /> a ate <br /> • <br /> 02043 <br />