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Feb 02 15 01:30p Ferrin Electric Irii 4253377746 p.6 <br /> ELECTRICAL P <br /> Cliff OF PERMIT APPLICATION <br /> EVERETT PERMIT SERVICES <br /> .3200 CEDAR STREET, EVERET :, WA 98201 <br /> - g c,,,,torte(2 3' <br /> 425-237-8810 - FAX 425-287-8857_www everetfwa.org <br /> Dic <br /> -)--L fro-.),J*- q <br /> PROJECT <br /> ADDRESS <br /> MallAddr Ericf ,�. ` A ° OS�13 <br /> Owner <br /> Cay - <br /> Staternp Phone <br /> Tenant <br /> Mail Address <br /> {�to 614, � City State/Zip <br /> Pti)6( F� b Uh INA 1\1 CPhone <br /> Ctf;Electrical Corer <br /> + a Address ! �� �, (1--.6 3� �$ <br /> --exc.' i 9 I ki I $tare!£rp Phone <br /> State License Number <br /> AI l.v Z d • Contract Frig of Work <br /> Propos 761 Use of Building <br /> TO contact Person {Plan Review) <br /> newcortstruction.remodel or a ddsTon) <br /> Number of devices(if low voltage) <br /> Description of Work to Be Done; Lj 0 67 t <br /> Li I ,CJI`c:e . <br /> CITY OF EVERETT LOCAL SALES TAX CODE FS 310S FEE <br /> thereby fylhat'l have read acrd. <br /> '36 tJ� <br /> correct provisions ofla vs and ' S application and know the same to be true 11 <br /> 't All p hereon laws governing lhLi <br /> violate or cancel The grantingdoes <br /> 'no ofwoi ovilflle Phont <br /> Y ID violate <br /> performance of construction.ovfsions of any other state o a e°f a�:sume#o give <br /> Oirc-f <br /> work for which a on. That 1 am authorized by the otivnef thfrs9 m en oR(�?ITf!` <br /> 296.200 WAC. <br /> which <br /> application fs made and I comply with the Stats Contractors Law to Perron?'the E 18.27W and �� ��. <br /> Signature <br /> ^� 'j,� <br /> • <br /> •ate <br /> ' 313 <br />