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FROM :MCKINSTRY FAX N0. :206Z689701 Feb. 12 2014 03:06AM P 2 <br />� <br />� <br />LJ <br />EL�CTRICAL PERMIT APPLICATION <br />C1TY OF EVER�7T PERMIT SERVICES <br />3200 CEDAR STREET, EV�RETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />�/Co p� c-�.z� ��1� C7�" �� <br />� <br />PROJECT ADDRESS <br />P�o%�'o£,Jc� �-tlL7l� �!�(/�� s l�J! G�JD ��� S��' �Dl� ��-n�T�! �� ��DS 7 �l�S -.S��S- <br />Owner Mail Address City StateiZip . Phone <br />F��2F�K �(�,vZi�L `�/G� �.��.r�.z-� A.v�' L�V�.�I r� � ���1 ��s = �al -��o <br />Tenant Mall Address �ity . State2lp Phone <br />/11 ��I.591�� lb� `�Op� - � �"� ��' S: 5 ��� Gv� �1'��3� � 70� - 3��/ <br />EleCtriCai CorltfBCtor Mall Addross City State/Zip Phone <br />t�'� ��1� �L �r'�� � Rl <br />State License Number <br />%�OS/�-���- L� <br />ropased Lise of Building <br />�� /� <br />Square Footage (If residentiaf new construction, remodel or addltl0n) <br />� �� <br />Number of devices (If low volt�ge) <br />Description of Wark ta Be Done: <br />� S.�c�,�.azT� <br />�ocv 1/a c.- rr� � � — <br />� <br />G1TY OF EV�R�TT LOC/aL 3ALES TAX CODE IS 3105 <br />� qs, �oo � <br />, <br />Corttract Price oF Work <br />Contact Person (Plan Review) <br />�o ���-/��T� C��s � <br />, �� S�cu�PzTy � <br />1 hereby certity tllat I have read end exemirled this r�pplication and know the same to be t�Y�e and <br />co1'rect. A!1 provisions of laws and ordinances govemrng this type of work will be compleied <br />whether specified herein or not. Tho granting of a pemiif does not p��stinle to grve aufhority ta <br />violate or cance/ the provisions nf �r�y othAr stele or 1oCal laW regulating construcfion or thn <br />perlor)T1dirCe o(CU»s!r'ucliUn. Thaf 1 am authorized by the ownerof tllis pl'operly lo perfonn fhe <br />work for wlirch 8pplicatior) is made and I comply with thc State Cor7CraCtors Law 98.27 l7CW and <br />296.200 WRC. <br />9 �. !I _ ,. <br />�` <br />ign ture � <br />ao6^ 7��- ���� <br />REVI SFU .3/9U/9.? <br />F�E <br />�� <br />� � . .�. <br />PERMIT# <br />E �`�05 - 0;:3C� <br />