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To: Page 3 of 3 2015-10-07 22:27:49(GMT) From:Tyson O'Neill <br /> s <br /> ELECTRICAL PERMITAPPLICATION <br /> CITY OF EVE ETT PERMIT aERMEES <br /> 1200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-25'x-8.81:0 FAX 425-257-8857—ww w,everettwe.gov <br /> PROJVCT ADDRESS <br /> V. <br /> `�« ,�f� �S �.,.� �. �"«==�•-�.� .. i'��" fie' �'yj i::> <br /> 1!�`�":`+wi �.1�"'':x tik' Kr'7 rte'/"`a`�•^:.i:�,; ,F + <br /> Owner Mall Address city State/Zip Phone <br /> Tenant Mail Address Pty Phone <br /> Phone <br /> "-' LM rI 'C`"'r :s,f�-•f M ,` ,. yt"d'f�.».- , G:l� E.ITcrM"'.I�-�+C?' <br /> i.�_7 ��• <br /> ` P x <br /> Electrscal Contractor Mail..A;ddrass City. statelEip Phone <br /> c <br /> State License umber(required) City of.Everett Business License Number(.required) <br /> Proposed Use of Building Contract Price of Work <br /> Square Fbovtage(If realdential nevu constructson,remodel or addition) Contact Pera TEontact. umber/Email <br /> d <br /> Number of#e.v des(l.f fay+vmIWI$) <br /> :Oescnption of Work to Be[done: «� � ' <br /> r <br /> A. cgs <br /> FEE <br /> t Ct7'Y OF EvERETT LOCAL SALES TAX CODE IS 3105 <br /> I l 1xerebyEBrt>fY that l have.read and examined this..alzptica#an r.nd know the:s0axe t4 be trr4e Ona <br /> eorrt3ct_ All.prowisions of.laws and ordktanceS govairning this.#ype.ixl work-will be completed <br /> +�rhather-speciiad tset6in..or net. 1 he grntf Q# perrrrit.ttoes naYrr�suine.to give ac,iraariiy.tQ — <br /> viola fe c�rcanc±l fhEr PmOsiaris of arty otherstata or focal lawregidatang Gor€structirsn or $ <br /> Part= <br /> cif construction: That i am'au€hrtfized.try the Owner of this propart'y to{xerfarr".the <br /> work for which applicat+on is made..and 1. corrtfrly with the.Ste€e Ccintra�tors lase+48.27 f3C1+V and i <br /> 296. 4t91NAC, 1 <br /> 23¢t1m <br /> Signature <br />