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To: Page 3 of 3 2015-07-20 17:26:41 (GMT) From: Tyson O'Neill <br /> %.O*TRICAL "Er"MIT APPLICATION <br /> ELEC r M <br /> CITY OF EVE ETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857— <br /> www.everettwa.org <br /> lelu;2 i�tve_ <br /> PROJECT ADDRESS <br /> Owner Mail Addres City "te/Zip P <br /> Tenant Mail Address city SlartelZlp PlIone <br /> ElectrAl Contractor Mail Address city state/Zip Phone 0-,535 <br /> 9MVIL-L q-WIM 11 1 <br /> State lihanse Number(required) City of Everett Business License Number(required) <br /> r) n (i. ao <br /> kin-0-Y _Q <br /> proposed Use of Building Contract Prim of Work <br /> rl"IlUct �4arlp%y/� <br /> Square Footage(if:residential new construction,remodel or addition) Contact Person/Contact.Nurnber/Ernail <br /> Number of devices(If lq4v voitage5 <br /> Description of Work to Be Done: <br /> FEE <br /> CITY OF EVF-RETT LOCAL SALES,TAX CODE IS 3105r�� �� <br /> Jhembycafffy that thave mad andexatWhad.this application and know tha same Jo.De tare Arid <br /> correct All provisions of laws and ordinances governing this typo of work., <br /> vill be completed <br /> whether specifled herein or not The granting of a-permit does not presume to give authority.to PERMIT# <br /> violate or cancel the provisions of any 61her 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 <br /> WO&for which application is Made and I comply with the State Contractors Law f 8'..27 RCW and E <br /> 296.2Q'W <br /> I <br /> - - -&- /L 1 7 743 <br /> -a SkgnatL-e Date <br />