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May 16 16 09:40a ERIC OLSON ELECTRIC INC 3602581859 p.1 <br />� � <br />ELECTRICAL PERMIT APPLlCATION <br />r CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE�f, WA 98201 <br />(P} 425-257-881C� { FAX 425-257-B857 �(E} everetteps@everettwa.gov � www.everettwa.gov/permits <br />ER NAME: aG���j <br />ER MAILfNG ADDRESS: <br />PHONE_ �'Z V� <br />NAME: � <br />ADDRESS: <br />�' I I V <br />STREFT <br />CITY <br />J,C:� G _ . <br />dSv� <br />STREET � l � � <br />CONTAC'�' INFORMATION <br />� 1J' 1 Q, �Q TENANT NAME (I# Commerciaq; �Q �( SQ.�,j j�� �� S t} b S <br />STl�TE ZIP <br />� OWNE32 EI'4A/UL: <br />�.� C�'Yl C, � �C • <br />� <br />P� <br />�� <br />cmr if��C.���i4JY sTnre �N i� ziQ � �1i �j <br />CONTRACTOR PHONE: (� � lr p- �( L 1 CONTRACTOR EMAIL: ' C� � 1 SL~��1 ��(� C��" `(� �}�}�(�,{ I.CC�i�Y <br />CONTRACTdR LIC. #(REOUIRED): ��I�V��� �S �.,� CITY OF EVER�'Tl' BUSINESS LIC. #(RECak1iRE0): �p f I � e �, <br />PRiMARY CONTACT: OWNER � CONTRACiOR � OTHER (Please Specify) � __ <br />CONTACT NAME: CONTACT PHONE: � �; C� ��� �,, �,tC� L I <br />� 1�1 G � IS� Vl CONTACT EMAiL: �7..V I L� ISL �� l Q C� Y i C. v'VtGI ►. C��'✓1 <br />AGREEMENT: T hereby ce�tify that I have read and examined this application and know fhe same fo be ttUe and correct. A!1 provisions ot laws and ordinances govem�hg lhis <br />type of woric wUl be completed wbether specifred herein or not. 7he granting of a permit does not presume to give au[hority to violate or cancel the provisions ot any other state or <br />�oca1 !aw regulating constucd'on or the por�ormance of Construction. That I am authonzed by the owner of l�is prope�ly to pertorm the wo�k for which appJicatron is made and ! <br />comply with the State Contractors Law f8.27 RCW and 296.2QP N/AC. <br />Owner/Authorized Agent 5ignature <br />� 1��� I��E� <br />City of Evereft O�cia! Use Only <br />FEE <br />� ��.�'/ <br />PERMIT # <br />E 1 l� ��j = �j�l �� <br />(Revised � Q/f 2/209 5J <br />�.k� <br />