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04I16i'2015 16:24 2532�321�� GARNER ELECTRIC PAGE 03/64 <br />���°�..o A �.���I'�� ��r`��� 1 �`°�,���r������ <br />CMTY OF �VER�TT PE�l1119T vIE�V�CE� <br />3?_00 CF_DAR STREFT, EV�R�TT, WA 98201 <br />425-?57-8310 - FAX 425-257-8857 — �ww.cuerettwa.org <br />�1�c:�L.�l I�. � � . - <br />PROJ�CT A�pR�SS <br />Owner <br />Ten� nt <br />Mail Adclress <br />Mail Address <br />�1: � � eV <br />Cil.y <br />Cliy <br />> ��` 5� - �-�(A� <br />State/.7.Ip Phonc <br />State/7_Ip I'hone <br />�na�� �lec-�-,�«.1�����/ -S ��v��. �eS. �CP�I�--�� ����-8'�-�^(vUSI <br />Elec4rlc�l Cofltr�cior Mall �ddrPSs Clty State/7_ip Fhnne <br />�� � �F � �`�� � ���d� <br />St:�i;o License Numb�r (reqt,ill'�d) CKy o,f �vorett Busfnes� License Number (required) <br />�v � <br />Proposed Use oF 13uilding Cortir�Ct Price of INork <br />Square Foo�t�gc� (If resldential new construction, remodel or addition) <br />Number �f raevir.cs (If low vol#�ge) <br />D�sr,ription of Work �to I�c; bone, <br />�) <br />CITY aF �V�R�TT LOCAI,. SALES TAX COD� IS 3105 <br />�.�� l� c�1�.�1�i �.le p � `�8�._.2�3 <br />contact Person/Contaci Number/CmaH <br />1 hernby cer�lfy t•hat I havc read and exan�lnecl t,his �applir,afior7 �nd lu�ow the same 10 l�c� truc and <br />r,orr�ct. /VI pro,risions of laws and orrlinances povern(ng thls fype of worl< will bc corr]pleted <br />wheti�er sper,ifi9cl hor�in or n�t, 7'he granting of o permit docs noP presume fo giv� aufhorlEy (�v <br />violatE or cer�ce/ fhe provisions of any of.Mcr state or loc�l law r�pulating r.onst.rucflon or (he <br />peiforr��ancc of cons(rucfron. 7"hat 1 ain �uthorized by the owner of il�ls propony to per�orm the <br />work 1'or wl71Ch applir,�tron is mado and 1 Comply wlfh the St,�t,A Gontractors Lew 98,27 RCW 3nd <br />29G.200 WfI C�, <br />`�%�l (� �l S- <br />REVIri�L� ne/�or�a74 <br />FEE <br />�'%�(i���i <br />��RMZT� <br />� ��(�'� - �1��� <br />