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-- i <br /> ' i , <br /> �LECTRICAL PERMIT APPLICATION I <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa org <br /> z.C� G g I S a 3—b a.(.� � <br /> z8 �s Co� b,, Av�- �r 3 —�3 —�5 <br /> PROJECT ADDRESS I <br /> II <br /> O�mer lda.l Adcross Cdy StateZp Pnono �'� <br /> I SpeG�a.�-4-�� lnsura.NcG' 2fiISC�I6yFW� �eve-�� c.�p' 9 �ZG `f <br /> Tenant "a�lAdtlress Gry Slato'Zip Pnono . <br /> IFoy Group 2400 NW 80th Street�118 Seattle WA/98117 206-937-6150 � � <br /> I Eleclrical ConiractOr h�a��l Fd::ross C�ry Slato2�p Pnono <br /> � FOYINEC015CH -� z,�o J' ' <br /> ISlale Llcense NumCor Conlract Price o1 N'ork <br /> ' Proposed Usc ol Bwlding Contact Pcrson (Plan Revicw) �, <br /> I <br /> ISquaro Footage Qf residential new consiruction,remodel or addilion) <br /> (� eard �e�ae,rs <br /> Numbor of devlces Qf low vollage) <br /> DescriptionolWorktoBoDonr �✓1ST�..�� Clwa�O-ueSS �,� f.on�' p,nr� 2ea.r �o,rs <br /> FEE <br /> CITY OF EVERETT LOCAL SAIES TAX CODE�S 3105 I L. «-j i <br /> t heivby ceRily fhat 1 havo road and examined fh/s applicafion nnd kno�v�ho samo lo bo truo mid �J <br /> corrocf All prowsions allows end ordinences govommglhis rypo of worfi wJl bo cemp/efed ; <br /> whether spoc�lied horoin or nof. The grnnting o'a pemrit does no1 prosuma(o give aufhonty fo PERMIT# ' <br /> violato or cancel the provisions ol eny ofher s(nfo or local law regulnUng construction or tho �i <br /> pedormenco o/construcfion 7hof 1 apihon:ed Dy fho owner ol this propem�fo pedom�fhe E a I� 03 — �2� I <br /> work lor�.hich n fion Is ma and I comply�vilh the State Confractors La�v 7 8.27 RCN✓and � <br /> 2 6.9 Y1A �j <br /> L/ � <br /> � �✓ 1 _ � � 3- / � ' /S <br /> ✓�(/�"� ��2-�j�� <br /> Slgnatur0/ ���o <br /> i' / <br /> I� , <br /> FC:i5C91:0.'t� _" <br />