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From: 0 <br />C3'1 2015 13:30 #721 P.001/001 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - Avvw.everettwa ora <br />ZL031 Wtdtlje,} <br />PROJECT ADDRESS <br />Wt2 <br />vtg4 ,WA ggZoI <br />ere; <br />I Address City S'ale.2:p Phone <br />SacllJSa,s �7MJ < Jya e, ?21 warms tSf. ra<^c,fi w-A ` ie)w i <br />Tenant Wad Address City state/t'rp Phone <br />In c . L1312 hun nawlt Pxa/-LL �-d MuV-d fto , ytkA 90,775 <br />Electrical Contractor Mad Address City State/Zip Phone <br />EC I-brec► A fti-1-7 ok <br />Slate License Number (required) <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Z <br />Number of devices (If low voltage) <br />01 S'?UloS <br />City of Everett Business License Number (requ.red) <br />I$JG10.Ot7 <br />Contract Price of Work <br />_YKC SA1.)Y7{SihSVI <br />Contact PersonlConlact NLmbedEmail <br />i-c"'Swty (oher-e(0 • r O vV` <br />Description of Work to Be Done 1 k ( 2 I v Q yr m (),�T&ti 1 s <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined flits application and know rl.o same to be true and <br />correct. All provisions of laws and ordinances g n/omrng this type of work wtlf be completed <br />whether specified herein or not The granting of a pennd does not presume to gtvo authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />parformance of conslructon. That/ am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 16 27 PCW and <br />296. 200 WAC. <br />OV l,{JStoSk-1 <br />nn-tseecsvwara <br />31181 1 S <br />FEE <br />PERMIT# <br />E 15 �3- 106 <br />