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B�ian's Prinier <br />3604246265 F � <br />ELECTRICAL PERMIT APPLICATlON <br />CITY OF EVE42ETT PERMIT SERVICES 7`��/3 <br />320U CEDAR STR[ET, EVERETT, WA 98201 <br />A25-257-8810 - �PJC 425-257-8857- wvrri.everettwa.org � I..��_�3 <br />;7�)�� u�s� rti1����,�EJ\ l7tz II <br />PROJEC'i ADDRESS <br />Q,vner \tiit �daross <br />y��s ��. <br />/'-,��GyiS oG ,ot-oieadu��_' �'% E <br />Te�ant 41ai1 AComss <br />Elec:rical Contractor htail Address <br />Ciry <br />I City <br />- f'o �t�ox 9c�7- <br />� City <br />r' i�-/0%7 L;' zy .y� S <br />Sk�ie License Number <br />Ii <br />Proposed Use of BuiiCing <br />II <br />Syuare Eootage pf residential nevi construdion, remcdel o i addi6onj <br />S:alel7iF ?hone <br />y Z:l <br />�� ��� <br />Slale2ip <br />9�Z33 <br />' l� )R <br />Slate�Zip <br />�3J�s <br />ConUact Price of Work <br />� /)4I.� �J�Cf�7 <br />Contact Person (Pian Review) <br />Number c` dev�ces pi low vol[age) <br />Descripuon af Woik lu 6e Done�. �/r�/NC7 /< L J�%F�T �l Z- 'rG �� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 '�. <br />! hr.reby certi(p tl�at ! have read anJ eaamined fhis applica�ipn and know tha same fo Ue huo and <br />rone,�:[ AN provisiuns ollaws and ordinances �oveming th'rs tiPe ef �rork u�ill be eomplelr.J <br />�.vhethc� spet�fied hcrcin o� noL The gronting af a pem�if does nof prosume to ,qive a�thonty te <br />�iolate ur cancef flre provisions c� any othcr slafc or locallaH• regulafing mnstruclion ortho <br />pedomwnce o/ caishuchai. Tha11 am a�Rhon�ad by the oivner of this property !o perform the <br />wofk /or �vhich applicnlron is mada and I comply w+th tha Sfate Co�traclo�s l.mr 1827 RCV.' aad <br />296 200 N'¢L.-� n I. <br />% <br />,... .,�,:; .. <br />Fhore <br />�co <br />zv G.:7,L:? . <br />Phor,o <br />FEE <br />' ��� ��� <br />PERP1ITk <br />E I `'��'� -c ( �' �'� � <br />