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RUG-5-2013 09:05 FROM:BOYER ELECTRIC 2063674575 T0:14F!257ER57 P.2 <br />• • <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 - www.evcrettwa.org <br />PROJECT ADDRESS <br />Omer <br />Mad Addie•.s <br />City <br />Stalul2ip <br />Pnono <br />Tenant 1.1a11 Adaress City slate2lp hnnn <br />Electra I ntraefor Mail Ad.".mss City staldzip ICU Pnonc <br />hzhj�Va L� $�ff <br />Slato LiconSo Number Contract Price of Work <br />Proposed Use of Building <br />Square Footage (if residential new construction, remodel or adAnlon) <br />Number of dovices (It law voltage) <br />./A <br />Be Doney V ' ' <br />l <br />Contact Person (Plan Rav ) <br />7-70 <br />CITY OFEVERETT LOCAL SALES TAX CODE IS 3105 72 <br />I hereby cattily that I have read and examined this application and know the soma fo be true and <br />correct. All provisions allows and ordinances governing this typo of work will he completed <br />whether spocified bcmin or not. no granting of a permit does not presume to give euthonly to PERMIT# <br />violate orconcol the provisions orany othor state or local law regulating construclien ortho <br />porformonco olcoristructlorl. Thatif am outherizod by the ownor ofthis pmpody fo perlorrn the ` <br />work for whit:h application is mode and I comply wtlh the State Contractors Low 18.2i RCW and <br />