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FROM :Dick Ho�ard & Sons Elect FAX N0. :4257765895 Oct. 14 2016 03:55PM P2 <br />ELECT�2iCAL PERMIT APP��CATfON <br />Cli"Y OF �VEE'tETT �ER.MIT SERViCES <br />3200 C�DAR STREET. EV�RETi, WA 98201 <br />425-257-8810 - FAX �425�25i-8857 - wwN+•everettwa.gov <br />oS C;��� <br />PROJ�CT aDDR�S <br />� <br />Mail Address <br />� � � <br />Sfeie�Zip <br />�ot�— ��i-53C�f <br />��` <br />Phone <br />Tenant Mall Addrass CiSy State/Zip Phone <br />�l �S - `�'1 S "1 � � � <br />� �. , � c� � ►� ° � <br />`, �.`�. . � _ <br />Electrical Contractor Mai1 Addreag Ciky State�Zlp Pi�ane <br />� � C k^ �-1 S�i ��-t,1 <br />State �lcense Number (required) <br />Proposed Use of Building <br />5quare �ootage (If residential new construction, remodel or addition) <br />Numbef oP devices (If low voltage) <br />��� "l�� <br />Ciry of Everett gusln�ss License Number (requlred)� <br />��l�c�o � _�.�..� <br />Contract Pnce of Work <br />��.u��� ��rl _l ��r�c.,c� ..._ <br />Gontact PersonlContact Number/Email <br />Description Of Work to Be Done: �1 1 1 � � `��'� � ���, � �" �- � � �.—�� ' <br />�� <br />�,i(1 �L1.� �1l� - - <br />C}TY O�' EVER�7T LOCAL SAG�S TAX COD� iS 3105 <br />I her�by certify that 1 have rEad and examined this application and know the ssme to bo true and <br />correct. AI! provisions of laws end orcirnances goveming this fype of work wffl be comple#ed <br />whetf�er spec�fled hereln or nof. The gr'anting of e pemrif doea nat presuma to give authoRty to <br />vioiate or carrce! the p�'ovrsrons of any othsr State or local Iaw regulating construction ot fhe <br />perfvmtance of construction. That J 8m author�zed by the own�r of this property to perform the <br />work fnr which spplicatron fs m�de and I comply wlth the State Contrycbrs Law 98.27 RCW end <br />296.200 Wi9E. � <br />t�--rl��, <br />REV/SED 09HllS/.t014 <br />�� <br />c�� <br />PERMIT� <br />� ��Ol a � 1�� <br />