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Sep.23. 2014 11:02AM Applied Business Communications No.9654 P. 1 <br />0 0 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 ������133 <br />425-257-8810 - FAX 426-257.8857 www.evereltwa,org <br />9-- ;) 3 --1 tl <br />300 3 fiV Q41S►A)h r�b� cv rTl W9 9s 20 _ TtdIyDING� yU - g 7. q <br />PROJECT AODIRESS <br />&Q-i(» 09PDR-06OMW 100 lLl t240Tt-10= r,#Ie4JjJ .7L 1&0404a 312•61fy-200a <br />Owner Meu Address city Sla(eOp Phone <br />Tenant <br />Azpl-icp 911sipw comm,, <br />Mall Address <br />to oNl <br />Clly <br />lots xabvcray bo., rV9&J144 <br />SlelolZlp <br />(AM <br />Phone <br />12s'-569' <br />Electrical Contractor <br />Mall Address <br />city <br />Stateop <br />Phone <br />PPR..Tae- (Vgg bM <br />Slate License Number (required) <br />67ENr-7"- <br />Proposed Use of Building <br />9,06 <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />&03-13 $ � <br />City of Everett Business License Number (required) <br />-di am.01 . <br />Contract Price of Work <br />14ATwO 14ILLtl1- Z.or.-�39�ogSy <br />Contact Person/contact Number/Email <br />f1M� I���a.6c�M11�.cc <br />Description of Work to Be Done: Z1J5T4-(- 13 GR'tiGES ro DC,7$fe. At lb I`��INTtr►Z <br />WA-rW" S FO ra. NC-TvJ6XV-, <br />�t_wts� ch►-� mocLytj Ar opftcC &zr 3-(oq ,6&wgj F6¢ FAp. GLj-r. FEE <br />CITY 4F EVERETT LOCAL SALE6 TAX CODE 16 3105 T -9 ri-n 00 <br />I hereby certify that I have read and exam/ned this app110e00n and know Mb'same to be frue and <br />correct All provlslons of laws and ordinances governing MIT type of work will ba completed <br />whetherspecifted herefn or not The grai2ling ofa peymR does nol prosume to give aulhodty to PERMIT# <br />violate or cancel (lie provisions of any other stale orlocal law regulating conslnucllon or the O <br />perlormanco of construction. That f am authorized by the owner of this properly to paaform the E 1 - <br />work lorWhich appllcalfon is made and I comply with the State Contractors Law 18.27 RCW and <br />REWSEno&e6 N <br />