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FROP1 :Dick Howard & Sons Electr� FAX N0. :4257765895 •Ma.r. 29 2016 11:42AM P2 <br />ELECTi�ICA�L PERMIT APPL�CATION <br />CtTY OF �V�RETT P�RM�T SERVIC�� <br />32d0 CEDAR STREET, �V�R�TT, WA 98201 <br />425-257�6810 - FAX 425,257-$857 — www.ev�:rettwa.gov <br />GI� \� -� `� `� `j�-ts� `��� � ' 1 � <br />PROJ�CT ADDRESS L-�� S��'j�l � J S C�r� <br />�- <br />Owner <br />Mai1 Addrese <br />Ol�-ll�.. "�-K., ��.r�. sl,''� � `\J � �y.��.�.%�f ��`�� <br />City <br />State/Zip <br />Phane <br />�c�il_,�A <br />Tenant Mail address City 5tate/�ip Phone <br />l.-i �r�S�' �1'l � � � � � � <br />�� C__�_ r3kYa t�;� "l 'c�C> �, P_ C'EV �� j� h� � ���C - i VIIItW��C� tA� IA i�.L� (-� <br />EI6Ctfical Contractor Mati Address City State�Zip Pnone <br />� � c, k-1� sti�l 3�Q�1,� <br />Sta#e Llcense Number (required) <br />� Sf� "�'1.�'r'C1.�� �7 <br />Prapas�d Use of Building <br />City of �verett Busin�ss License Number (required) <br />Contract Price of Work <br />�� ►�v��� �.Y �c:��,th�2�.� ti1 a � ��5 -1� � � <br />5quare Footage (If residential new congtructfon, remodel or addition} Co�ltect Person/Contact Number/E�nai1 <br />� Y1S�4,,►J �e.Y°� v�.�e..�r �? ��/�`(��, � <br />Number of devic�s (If tow voltage) <br />�tnn> � �2R�--e�'i �' _C.v � C,�nra�!'Cn�e_v' <br />5 <br />'`. <br />CITY OF EVERETT LOCA!» SALES TAX C�D� 13 3105 <br />I her�eby certify that 1 hBve resd and examined ihFs applicatfon and know the sAme to b� truo anci <br />correct. Alf provisians of lews and ordin8nces governirlg thia type of work wiN be campletrad <br />whether speclfled herern or not. The grenting of a permit does not presume to give authority to <br />vfolate or cancel the prOvfS/ons of eny other State o� IOC&I !&w reguleting construction or the <br />pertormance of cOnstructlan. That ! am &ufhorrzed by the owner of this properiy to perform the <br />woric for whir,h eppDcat�on is made 8nd 1 comply with the State Cont�actors Law 98.27 RCW end <br />,- 296. 200 W� C. <br />RFVlSED O&RIIG2019 <br />FEE <br />� i�:,�� �`� <br />P�R�lif# <br />� �l �i � �"`" � �� <br />