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ELECTRICAL P�F�.N111�� AP�'LIC,�A, NQN <br />CiTY OF EVERETT PERMIT SERVICES <br />3200 C�DAR STR��7, �V�t�E7T, WA 9820� <br />425-257-8810 - FAX 425-257-8857 — www.evereitwa.org <br />� <br />2sos a tt� se <br />i PRO ECT ADDRESS <br />I <br />� Wz� s Ho11ow Paz�C 280810th St <br />Ovrner Mail AUqress <br />� City O Everett 2930 Wetmore Avenue <br />i <br />iTenant Mail Address <br />� <br />Kaige ectrical SoIution6 LLC p0 BOX 311 <br />Electricai Contractor Mall Acldress <br />i <br />� �.A�G ES9sOB� <br />i State Lic nse Number (required) <br />ERe �o � uy z�ew batk�zoona building and re move temp pole <br />!: PropOsB l,lse tif Building <br />; <br />� <br />N/A <br />Squ <br />Number �f devices (!f low voltage) <br />�.t�erett <br />Ciry <br />EveXett <br />c�ry <br />Ola11a <br />City <br />new const�uction, remodel or addition} <br />WA - gazoi <br />WA -98241 <br />WA <br />054173 <br />City of Everett Busines. <br />$2500.00 <br />Contract Price of Work <br />oF Work to Ba Done: �- ° <br />`i r� ��-�t � 1 � � ��( �, i �C� ��'�� ��f � I,��c:iY <br />Phone <br />Phone <br />2$3-857-OZ57 <br />Phone <br />License Number (required) <br />NumbedEmail <br />��� <br />CITY OF VERETT LOCAL SAI.ES TAX CdD61S 3106 ��I i� 5'� <br />�� <br />1 hereby e�tfiy ti�at I heve read and examined this application and k�OW the Same !0 be frue 8nd <br />correct. !! provrsions of laws and ordinances goveming thls rype oF work will be completed <br />wl�ether pecvfred herein or noi, The gr&nting of a permit does nof presume to give aufhonty to P� MIT# <br />vlolate o cence/ the provisions of eny other state or local law regulst�ng canstructron or the <br />performa ce of censtruction. That I em autharfzed by the owner of this property to parform fhe E L�%�`�,� -- f�� <br />work for hich applicafion is made and ! co�nply witn the Stefe Contrectors Lew �8_2T RCW and Vl.� � <br />29H.2D0 AC. <br />�� � <br />