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#30 <br />12:05:04 p.m. 09-03-2000 1/1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMfT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.gov <br />ZSO� N��-� A�l� <br />PROJLCT ADDRESS <br />�..oeP. nF cAro'e�L•,�¢t,NS/sNoP �Io `� � av� SEar2� WA/g8lo�i 2e6 •38Z •ya�/ <br />Ownef Maii Address City StateiZip Phone <br />l►+�a-tALut.�►r�. L'e�cEP7)onl ZSOS cloVY dVE fY�QET wA/g82A! <br />Tenant �GNOCL Mail Address City State/Zip Phone <br />TrarJ ��E,c.r¢.I�- 12�Z�t Na¢.r1�luP NIAH SrF Zo� $e��EVoE wA/9�oo� 2uG • G33•Zf31/ <br />Electrical Contractor Mail Address Ciiy 5tate/Zip Phane <br />'rr,4�f E [ �G3a8 <br />5tate License Number (required) <br />Praposed Use of Building <br />5quare Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />es+lql. - <br />City of Everett Business license Number (required) <br />2, 5�0 <br />Contract Price of Wor3c <br />Contact Person/Cantact Number/Email <br />Descriptian of Work to Be Done: �NSTA(I y'Wd nE�p 1�kT'ED Ci LG�1'r� ��l r£�IL�JEe� �o�NCy� T-�� <br />�ar �lR�r�2 � Di�N v�l�lJE.rL <br />CITY OF EV�RETT LOCAL SA�ES TAX CpAE IS 3'i05 <br />I hereby certity that I have iead and examined this application and know the same to 6e true and <br />cor�ect. Al! prvvisiQns of/aws and ordinancas govemi�g this fype of work wi/l be completed <br />whether speci�ed herein or not. The granting of a permit does not presume to give authority to <br />vio/ate orcancel the provisions of any otherstate orlocal law regulatirtg constrt�ciion orfhe <br />performance of construction. Thai ! am authorized by the owner of ihis property to perform fhe <br />work for which application is made and I comp/y with the Stafe Confractors Law 18.27 RCW and <br />296.200 WAC. <br />REVlSED OBA)G/2014 <br />FEE <br />�� � `�y � <br />PERMIT# <br />E ����� � � � <br />