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- - - - - ---�- ----- -- - - ------•---_ <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CFDAR STREET, EVERETT, WA 98201 <br /> 425 257-8810 - FAX 425-257-8857 - v�nvw.everellwa.org <br /> 6-�5-i5 <br /> C I506-0�3 <br /> 1509 Calitornia <br /> PROJECT ADDRESS <br /> Compass Hoalth P.O E3oK 3810 Everel� WA 98213 <br /> Owncr Wan AeAress �—�� — CtlY SlainZP "Iw��r <br /> Campass Health/Dawson Place 1509 Cai�lomia [vere❑ WA 9820t <br /> 1Pn0nt Mail Ad0�e55 GIy Slale/LD Phone <br /> Llecinc West, Inc. 817 N. 6th SI., Stn. E� Mounl Vemon _ WA 9�e73 _ <br /> `cln,chicalConVactor L�a�iAdtlress �- City SlalerZip Pnona <br /> ELEC1W1030J1 034d89 <br /> State Lir.ense Numher(reqwreA) G�y ol EvereU Business License Number(reqwred) <br /> p11�ce space $9d0.00 _ _ <br /> PropotieA llse uf�wlAing Contrncl Pnr,e al Woik <br /> Nruno Paddla 360-419•9378 <br /> bruno@eleciricwr,sitom __ _ <br /> -- ------- -- <br /> ,qu,ne Fonl.n�r.QI rn.sdenlial nmv consliuclion,�empdel or addilion) Contaci PersunlConlact Numher,�Cmail <br /> Wumher ol deviu;s (Il lnw vull;iqe) <br /> UCSLnpiinn o�Work 10 f!e Don� �ddmg cucu�t 1or outiet lor new copy machmr. <br /> FEF �� -- - <br /> CITY OF EVER[TT LOCAL SALES TAX CODE IS �105 �I _/ <br /> I hrrrby cert�ty fhal I hdvc rcaA and nxarmned Ihis apphcahun onJ knnw Ihe s.vnr. In be fiuc .nA _._ <br /> cnnect All Urovis�nns ollews end or�in,�nces yovomrng thrs IyP� �f�vmk wdl bo conrple�lod —�—�- � <br /> a�hofhor•per.ilmd harein or nol Thr,g�anhng nl a pernvf does nol presumx fo grve a�Alionly fn PEkM1T# <br /> viNnlc o�r.ancel fhc prowsrnns ol any ofhm sfafo or local law reguliling tonslruclion or fhe r i G O/ _ O l -7 <br /> ��erlormancu ol rnnslruchon Thef I am authon/oJ by Iho nwqrv ol fhis pioperfy l0 perlorm th�! � I \.� �l% \(�✓ <br /> work!or which apphcaliun rs madd anJ I cumply wdh Slafn Conhacfors I.aw 18.17 RCW and _ _ . <br /> 796 ' S}4C � <br /> I ��-/� <br /> ��/ /f/ l� ,� ----- June 10. 7.015 _— <br /> �II��IAl111P �� ��IA <br /> �[b6fDOJAF10u __ _ __J <br />