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JUL-29-2015 09:54R FROM:DRHL ELECTRIC-EUERET 425-252-2999 :4252578857 P. 1/1 <br /> • <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 /> PROJECT ADDRESS <br /> Owner Mail Address City State/Zip Phone <br /> IidPLt2'S &Nk 6I20 ✓F.fe6-49i4nt V�}il $ ✓��sJ7-- ti/A ` $ 03 <br /> Tenant Mail Address City State/Zip Phone <br /> !�_)Ayi L CLEC TOLtL 34041 ML10 0iZ&A LL Ailk E Vt,&u- <br /> Electrical Contractor Mall Address City State/Zip Phone <br /> 1 A4LEE! CULQo 0 20 D 1L <br /> State License Number(required) City of Everett Business License Number(required) <br /> Cl 5-b^v <br /> Proposed Use of Building Contract Price of Work <br /> 6w►a STr.0*-kIs 2L-D -GGl-DSl <br /> �STGVLNS�f7lfa.i�����L'�N'IG.C 6 YVl <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: I UST4tL. 32 -4A j0 I-2y (/vy 7' c�Ciiy4T�G41c <br /> //V sr;2vC /2vo <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 00 <br /> I hereby certify that l have read and examined this application and know the same to be true and i <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/am authorized by the owner of this property to perform the El 5D-7— 20(p <br /> work for which application is made and l comply with the State Contractors Law 18.27 RCW and ��l�J/ 11 (� <br /> 296.200 <br /> S lure Date <br /> REVISED oai062014 <br />