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#30 .56:38 a.m. 09-09-2000 1 /1 <br /> 0 <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.gov f.,—/7 —15 <br /> loID1 Msacid*ed blvd I SU( IcIiv► A. <br /> PROJECT ADDRESS <br /> W2 • V81 <br /> Un erwood C ar-FIavc[ A �X 313 �e(levu� V � � � 2. <br /> I 3 <br /> Ownern <br /> �V Mail Address City State/Zip Phone <br /> . 1425-LR3- <br /> cozy Par 11�Itc '43.3 Ifarboor M vk(t+-eo WA- 98745 ("qui, <br /> Tenant J e. Mall Address NO Blvd SWIty State/Zip Phone <br /> T -kin Etecileic. inc. 12,2t iJlorkhUp Way telleVu& WklgBOt`f nit <br /> Sul Electrical Contractor Mall Address 4e 2D 5 Cit State/Zip Phone <br /> ECTIT -NGIc7lv3af, 051191 <br /> State License Number(required) City of Everett Business License Number(required) <br /> n1-h a s a u-inv co 'wa 2h o c ti 434/0,000 <br /> Proposed Use of Building pkg./ Contract Price of Work <br /> above- , llow s -i-1- Mei- Snyder <br /> Square Footage(If residential new cor truction,remodel or addition) Contact Person/ ontact Number/Email <br /> at#sc? Via ahelect -ic.ktQ.-f <br /> Number of devices(if low voltage) di* • (933 0.81 <br /> Description of Work to Be Done: 15 0 - 1I f I ooy 11 i (rat- t <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 4 SDs-.,' 00 <br /> I hereby certify that/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 - G s 06-1 <br /> performance of construction. That I am authorized by the owner of this property to perform the (> <br /> work for which application I made and i comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WA . / <br /> S' /VPIl 09/)C- <br /> Signatur- Date <br /> REVISED a81062014 <br />