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02/19/2615 68:40 2532882156 GARNER ELECTRIC PAGE 0�/03 <br />���� A �'�/"�� ��A\1MA1� �"11 ����/"*��U,�1 <br />C�TI� OF EVER�TT PERMIT S�RV�ICES <br />3200 CEDAR STR��7, �VERF_TT, W/� 982d1 <br />425-257-5810 - F/�X 425-257�8857 — www.euere�twa.org <br />�� ��� � <br />PROJECT ADpRESS <br />Own�r <br />7onant <br />Electrical Contractor <br />Maii Address <br />Mail Addross <br />Mall Aqdress <br />�� �Ill � .;: �I ��� � t�-� <br />State l�icense Number (raqufred) ' <br />Proposad Use of B�ilding <br />Squar� Footage (lf residontlal new construction, remodol or addition) <br />Numbor of devfces (If low voltage) <br />Doscription of Work #o Be bone: <br />r� <br />CI#y <br />Gity <br />City <br />_ e� '`�.���-,��o•- <br />Stale/7_ip Phono <br />State/Zlp Phone <br />�(_�i7 /.l � —�.-l'% r l �l� <br />State/Zlp <br />Phone <br />� <br />Ciry of �verett �uslnoss Llcense Number (requlred) <br />c� Q.�j <br />Cantract price bf Work <br />.��IfC���l.s �f��:�3 <br />Cont�ct Person/Contact Number/Emall <br />CI'IY OF �V�RE'fT LOCq� SAL�S TAX CppE IS 3105 <br />I ��eroby eer�ify fhat 1 have read and examined this app/icatian and know th� samQ ro bo true and <br />corroci, A// provislons oflaws and orclinancos govorning thls type of worlc will be completed <br />whefher spvciFlod heroin or not. The granfing of a�erm/t does nol prosumv to give author/ty to <br />vlolate or cancel Eho provisions of any othcr stafe or locai /aw regulating constructlor� or f/�o <br />perin�mence of construction. rhat l em aufhorized by the owner of this properly to perform fhe <br />work for which appllcatlon is mado and I comply with fho 5tato Contracto�s Lsw 18.27 RCW and <br />296.200 W,qC. <br />�EVlSCD 08/pG/201q <br />FEE � <br />��� � <br />P�RMITa� <br />� � �J ��` � J� <br />