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07I28/2015 14:14 <br />2532882156 <br />� <br />GARNER ELECTRIC <br />� <br />������1��� ����1rA�� ,�''1�������"`A���A�A <br />��T� �� ������� ������ ����%� ,�i�� <br />3200 CFf�AR STREET, �VCf�ET�', WA 987_0� <br />4�5-257••8810 - �/�X 4?5�2�7-8857 �- �nnn�v��.�veretiwa.org <br />� �1� P1 �� - - <br />E�ROJ�Gi AQD]R�SS <br />Owner <br />�'enant <br />Mali Address <br />MF�iI Addre: s <br />Cify <br />Ci1:y <br />5tate/7ip <br />State/7..,ip <br />PAGE 02/e2 <br />��� � <br />Plione <br />Pfione <br />C�� � ,.�`-�'� �hi� � l�� ��-�..�?5�_B�Z--�sl <br />Eler,tric�! Contractor M�il nddress Clty Slal.c/7_Ip Phone <br />C �-� �� � ��� � <br />St�tc License Nuinbar (requlred) <br />Prop�sed U,e �f C�uilding <br />Sc�u�re �oo#�gc (If residentlal ne�N ronstruction, YemOdel ol' �lddit(�n) <br />Nurriber o�f devic�.5 (Ii low vnl(ago) <br />Description �f worl< to Be �on�: <br />���g�.� <br />Clly of �vorett Buslness I_iccnse Numl��r (requfred) <br />�`� <br />Cantr�ct price of INork <br />► � � ���� -`�—.��� <br />Contacl� Person/Gontaci N�.�mbcriEm�ll <br />c�TY o� Eu��F�'T l.ocAl. s�►.,�s rAx rof�� rs �10� <br />I l�r�rr>I�y r.crtif,y th�f I ltave rc�d a»cl ox�mi+�ed 1r�ls applic�t�lon c�r�d Imow fhn sa�i�o tn b� trc�e and <br />Cot7�e.r.�, All pr�visions of laws �nd orlJlnanC9s r�ovc�n�ii�q t,his fyno of work will be cornplotod <br />whcfher �pecifled herc�in or r�o(, Tha grynf/ng of a permlt does not /�r�sume to .qiv� acrthori(y to <br />violato or esncel the pr'ovisin�s of any o(hrr sfate or local law rcgulat�ing co/7St'��ucflon or t,hc� <br />porforr��anr,r� of r,onslrucfion. Thai I srn authoriz�d !�y tho owner of this pmper�y fo perfonn fhe <br />wo�k for whlcF! applicaf7ot� is macie anci I comply with thc Sta(c L'o��traofars Law -I p,27 �CW and <br />29G.2a0 Wi1C. <br />$iyni�l:IfYE+ <br />RFwsr-�� oorocv�o rn <br />.,.:..,.,.....,��.....v_`.�,...... ,_...._....._ <br />Dale <br />r-�r..,. .._ <br />� �, L� <br />i� <br />PCRMIT-�� <br />� ( �� � - L.�- `� <br />