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04/04/Z014 17:24 FAY 4253538934 Eversreen Security <br />� <br />�LECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR�ET, EVERETT, WA 98201 <br />425-257-88'I �- FAX 425-257-B857 — www.everettwa.org <br />. � <br />�� �� .�� � �� <br />PROJECT ADDRESS <br />r�oo2 <br />�-%1,�-S,t,vt � U�'u�-� ���n d.►.�c. s h I?�C.o 25 ��-fi�, p.-�s�c,J �� <br />Owner Mail Addrebs Gity State/Zip Phone <br />� G�C.� �l.�S� �l� � �r�-�t� c. �-�e ����-" wxt- q �'s zo 1 � - 3a3-�t� <br />Tenant Mail Address Clty late/21p Phone <br />��Zs� �`� �" ��� <br />��.�1e..r�G�--P�,n �_r���,�►--tn �1.15 �101 ��-+r� W�- �� <br />Electrical <br />Mall <br />�2� s�. � � ��,a <br />State License Number <br />� �1Y�1'�Q� `�C.� <br />Proposed Use of $uilding <br />Square �ootage (If r�sidential new construction, remodei or addition) <br />6 �/ <br />Number of devices (If low voltage) <br />City <br />Stateizip <br />� ���, I� <br />Contract Prioe of Work <br />� � �111 <br />Contact Person (Plan Revlew) <br />Phvne <br />Description of Work to Be Done: Vv L [/l� l� ���� ` `� lu.lti/ t�wY�.c'Q,i� <br />—� i�-Pif��(.� C�� � �4� i �� � � . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cerirfy #hat l have r�ad and examined thfs epplication and know the same to be true and <br />corr�ct. AI! provlslons o� fews and ora9nances goveming this typa of wo�k will be compleled <br />whetherspecifred herein or nof. the granting of a permit does not presume to give authority fa <br />violate or cancel the provisions of eny other sfete or loea! law regulating construeiion or fhe <br />performance of const�cflon. That I em aufhonzecl by fh� owner of this property to perform the <br />wafc for which application is made and I comply with the State Contractors Law 98.27 RGW and <br />Rev�sea s2ais <br />FEE <br />� <br />PERMIT# <br />�i�'o� -- IU� <br />