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From:Pacific Power 2533954145 10/03/2014 11 :28 #403 P.002/007 <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.everettwa.org <br /> CQ4530‘ k,t)41 <br /> PROJECT ADDRESS <br /> nadfiarfkSh efa/Ay ?7,421) 4ekAtekktur \S 1-14Y4 Ove-re4xii 617 -b1 <br /> Owneerr � p M/a�i{Address City State/Zip Phone <br /> ( <br /> w' VC, obV Vl . <br /> Tenant Mail Address City State/Zip Phone <br /> prxcp£ e r Gail s f3 Pi, ,�fieta, kilt � a <br /> 4 � <br /> Electrical Contractor Address City !1 State/Zip 7 q CJ Phc 07 7 <br /> p PGS Cal b-1 V19'1—1 <br /> State License Number(required) City of Everett Business License Number(required) <br /> '5 0-70 , 0z) <br /> Proposed Use of Building Contract Price of Work a � <br /> frnar�.� c S ✓`� - <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email q O� <br /> Number of devices(If low voltage) ` <br /> Description of Work to Be Done: i l v Uy 1 DC ban S <br /> _uvux osen c)-) s-\--curvi VDLA )rcerv- <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 50 (T,', <br /> I hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That I am authorized by the owner of this property to perform the E 1 j O„ 0-Lift <br /> work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 29 200 WAC. <br /> aateu.aav) <br /> Date 1114 <br /> REVISED 08/08/2014 <br />