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04/'16/2015 16:24 2532882156 GARNER ELECTR� PAGE 04/'04 <br />� <br />���������� ����X��� .�'"RA-" ����/"!►��OI�N <br />CITX OF lEV�IREi'T �E�MI� SE�RV��ES <br />3200 C�f�AR STREET, �VFRCTT, WA 98201 <br />425-257-8810 - �nX 425�757-8857 -- www.Ev�rettwa.org <br />I � � I l-�� f'1 ��. <br />F'ROJ�CT ADpRESS <br />Owncr <br />T'enanl <br />Mail Address <br />Mail Address <br />City <br />City <br />)� "t� � "_�J [�� - 7 �� <br />5tate/Zip Phone <br />State/Zi�? Phone <br />�1(�►'V1P►� ���...c` �.� �? _4-2.��2_r�'� S�, 5. Y�,�._���2 253—��Z _ (.�OS! <br />EIeCtrICaI Cantr',�ctor Mai( Address City Siatc/Zfp Pl�one <br />�� � R�u E rr ��1 �3(�� --�.��qoq <br />5t,atc License Number (requlred) Cily oF �vorett B�islness License Num�er (requlred) <br />(� � �'�.�_ - --- <br />f�roposed Use of 13uilding Cnntract I�rice o�f Worl< <br />Square �ootage (If resicJontial new consiruction, remodet or addlifon) <br />Num�or of deviCes (l( low volt�ge) <br />Dcscriptlon of Work to ro bone; <br />��' i l I C'�-t (���-�� <br />Contacl Persan/Contact N�.�muer/Cmall <br />� � � - e � ' r11. � .[ � � <br />CITY OF �V�12�iT �OC/aL� SAL�S TAX CdbE IS 3105 <br />I hereby cerfi(y (h�� I have rnad and exarninr�d thfs applicatior, end kr�ow the same to bc f.rue end <br />correc(. All provlslor�s af laws and o��dinances c�overning this fypr� of wnrlc vvill be comwlQ#ed <br />whother spocifr'rd he��fn a� nof. The grant,ing of a pe�rn(t� rloes not ��resume (o yivo aufhorl(y (o <br />vrol9te or cencel the prr�visions of any other state or local law regul�tin.q r.or7strucilon or the <br />�c�rfor-m�nc� of construefion. 77�at I arrr ?uil7�rized f�y (he owr�er of fhls proporty t,o per(orm fhe <br />wor!< for whieh a/�plic�tfon is made r3nd 1 c:omply With the Sl2tA GonCr�r,tor-s Law 18.27 RrW ���d <br />296.200 WRC, <br />�.� <br />S <br />Fr-v�sFr> oo�oarroTa <br />FFF � <br />� �� �� <br />PEP,MIT�F' <br />� 15�� l��i <br />