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To�. Page 2 of 2 2014-07-28 2'I A63S(GMT) 18888574'196 From� David Wyatt <br /> �_'_ — .. _.__.___._—__. _'—. ,._'____._� <br /> ELECTRICAL PERMIT APPLICATIaN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � �.a g �� <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> � 1�07-177 <br /> �� � �G I�rGc-�G� W th�l <br /> PROJECT ADDRESS <br /> 12,N�'cV S r� 7/:t. S1' ! 7/lA l.3tOr �wc+y �1/.��'t� 1.v� �jg'ZO(' � <br /> OwnBr Mal Address � Ciy Stele/Zip P�one <br /> Tenant Nlail Addre66 Ciry State2ip Phonn <br /> i,Jy«--r c-'1�c.4,r,z � 7�4 �s��� sr-��ox 1 �f (,����t{�1�� wya- �Ys�as-Z vZ - � <br /> EleCfnCal Contradof �,Aail AOpress Cdy Stele/Zip Phone s �t� <br /> / <br /> ( � '�iu� .�i � � �-(� � fl � �vv ��� <br /> State cen e Number Contrad Price of Work <br /> Proposetl Use of Building Contact Person (Plan Review) ^ <br /> Square Footage(tf residential new construdion,remodel or addition) <br /> Number of tlevicea(11 low vollage) <br /> Description ol Work to ee Done: /U�CJ i�i3�o,t�1t G� I—�ri.� �UC'f7YS j �h<cr 7� <br /> �J`f�17c�r vK�° 7- - <br /> FEE <br /> CI1Y OF EVERETT LOCAL SALES TAX CODE IS a106 �]1'/ S� <br /> 1 hereby certily 7hat 1 havc read and examineAlhis applicafion and know tha same to be troe and "`��e <br /> corrnc(. A/i provisions al laws and ordinances qoveming this typo or work�vill be campletod <br /> whother speciled herein ornot. The prenbng o!a pormit does not Pmsume lo give aufhorrfy fo pERMITfl <br /> violate or cancel fhe pravisions ol any olAer stntn orloca!Iaw mgulafing constnic6on o�tbe ( <br /> pedonnance otcor7c(ruction. That 1 am authonzeJ 6y fhc nwnerof this property!o pedorm tho E I� O� — I�� <br /> wmk lor which applicalion rs mado ond I comply�dfh the Steto Contrsclors Law 18.27 RCW antl <br /> 296.200 WqC. I <br /> ���� � � <br /> y�////�// � � �� i <br /> 'igriaNro � r Dalc � �� � I <br /> Rtl'13ED 120M] — —'__--_.—'� <br />