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03/27/2016 09:58 3604740126 DONNELSON ELECTRIC INC #3598 P.001 /001 <br /> • <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> • <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwagov <br /> ( `Sill ,� <br /> 10 ,30 l Mic_. S r. <br /> PROJECT ADDRESS <br /> e_ crttt ( (Oka' fgm.kic sa gvere 9' ozi4, 9t26! ye5-377-4i671' <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> 1,111•e Isar ri-tr t34N Otya.p,i, Aire jig 6`ifia qszz, <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> • <br /> li <br /> State License Number(required) City of Everett Business License Number(required) <br /> 1400 50 6. <br /> Proposed Use of Building g Contract Price of Work <br /> - <br /> ‘Jan 1.4otko4"e LiZ5— 5 — &i/8 <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> • Number of devices(If low voltage) <br /> Description of Work to Be Done: e e p(.cQ 2or) � n1.^e.„4-ter Q v�,- hect_•::( <br /> • fFEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 310S I <br /> I hereby certify that I have read and examined this application and know the same to be true and II - �--"*" <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 tiPb <br /> work for which application is made and i comply with the State Contractors Law 18.27 RCW and �(/ <br /> 296.200'WAC. <br /> 5 ! • <br /> ��yi3"•'`�f�— - Da - <br /> I I <br /> REVISED Osrowzors <br />