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Jul, 15, 2015 10:37AM <br />No, 0747 P, 1 <br />ELECTR�CAL PERIViIT A,PP�.�CATIQN <br />CITY OF EV'ER�TT PERIViIT S�RVICES <br />3200 CED/�f2 STREET, �V�R�TT, WA 98201 <br />425�257-689 0 - FAX �25-257-8857 — www.everetfwa,org <br />/9ia ��.��. �� ��� f�;r�� <br />_ �PROJ�C7 AdbI�ESS <br />Owner <br />(/Siiall Address City � C/ Slato/Zlp '� Phone <br />.f <br />f�!(�� 11 �i �� D� <br />t�te �icons9 Number (required) <br />Proposed Us���y <br />��,D�� <br />Square �oota (1F residentlal new construcllon, rpmodel or addition) <br />Numbef of clevices (if low voltage) <br />Description of Work to Be Done: <br />�✓� �7 rr /:�� / <br />� � � <br />City of �veret Busingss Lfcense Number (required) <br />�'�D ���.— <br />Contract Price of Work ,_ <br />�U� G��� <br />Con�P�rs�n/JC ntack mb �� ��,, <br />(115� !r' <br />�3— �110 � d�'� <br />���CI'fY OF �V�R�TT LOCAL SALES 7AX COnE 1S 3105 ��� ��l <br />1 hereby certlfy thai 1 have read and axamJned thls app!lcatlon and know the same fo be true and <br />corrsct. A�i provisions oflaws and ordinances governing this type o�work w11! be completed <br />whathei specified herein ornot. rhe grsnFr'ng of a permlt does not presume to give authority io p�f�MR# <br />vio(a(e or esnoel Ehe provlslons o�any otherstate orlooal lawregulaflr�g constructron orfhe ��� ���^ <br />performance of const�uction. Thaf I am aufhorized by fhe owner of this properfy io perform the �rJ� �^ I <br />work ior whlch appllcation !s mad� and 1 comply wlth the State Contractors Caw 98.27 RGW and U <br />296.200 W�P.G. <br />REVl3fP oeroei20�a <br />