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Jun.2�.2015 7;45AM , No.0114 P, 1 <br />� � <br />EL.�CTRICA,L. PER.MIT APPLICATrON <br />C17�Y' O� EVERETT PERMIT SERVIC�$ <br />3200 CEDAR STRE�T, EVERETT, WA 98209 <br />�25�257�5810 � �'AX 425�257-8$57 -- www.everettwa.org <br />/D �i � <br />PROJ�CT ADDR 5S <br />Mail /�6dreae <br />� <br />� <br />Cny <br />� <br />SlalelZlp <br />1"ena�4 Mall Addross � Glty � 5tate/Zip � Phone <br />%y �v � i S ��D C) <br />te �iaense Number (required) <br />� ~ . <br />Proposed Use of Bullding <br />S are F'ootage (If residenlial new construction, remodal or �ddltion) <br />� <br />Number oF dovicas (f law volt�ge) <br />pescription of Work to Be Done: <br />o �� �'�� <br />Clfy of Everett Huslness l.lcense Number (required) <br />���/ �r ` <br />Confract Price of Work - <br />l� c'�y� <br />C aCt p rs n/Contact Numberl�mail <br />� zs3 7q� - �7C��/ <br />L� �� � G�J'R C(�2 <br />l � rl�.�� <br />1 ' � ' — � <br />'er yc/f C�/7L CL� y _.���7V VVW1i� <br />/ ., <br />CITY OF EVER�T�T LOGAI. $AL,�S TAX CObE f5 3106 <br />1 hereby certlfy thst 1 have read and examined this application snd know the same to be true and <br />corn9cf, qN provisrons�of Iaws and ordfn�nces governing thls lype of work will be pompleied <br />whefherspeclfled hereln ornoL The granfing ofa permit does noF presume Lo glve autho�ity to <br />v1ol5te vr c�nce! the provislons of any odher state or /ocal law regulating construction or fhe <br />perform�nce of consfrucfion. Tha� I am authorized by ehe owner of this prope�iy lo perform tho <br />work for whrch app/icat/on !s made and 1 compty with the 5fate Contraotors Law 98,27 RCW �nd <br />296.200 WAC. <br />l_ „ � ^i <br />� <br />na <br />R�ws�o oe.�Gno� � ����� �"'—�--y�— <br />f�L� � D �V <br />/ <br />PERMIT# <br />L. ��V �J � I d � <br />/ <br />