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07128/2015 13:38 2532882156 GARNER ELECTRIC PAGE 02102 <br />���c�-��c�.�. ������r,����ic�,�r�oN <br />CIT1r Q� ��/ERETT �'���NT 5��r/MC�S <br />3200 CF_D/�R S71���T, �VF_RETT, Wn 9820� <br />4?5-257-8810 � F�X A�25-257-8857 — wwvu.euerettwa.org <br />�2C� f � � �( . � <br />PROJ�CT AApRESS <br />Tenant <br />M�fl Adtlr28s <br />M&II Address <br />City <br />City <br />Slato/Zip <br />Stete/7ip <br />Phone <br />('hone <br />%a�r�� .I�er' �J ��25 �2'�� �. � �C n-� l.�_�Z8�v2 25� �2 ��OSL� <br />�Ioctrical Con'tC�ctor Mall Address Gity StatclZlp hhone <br />� �2ev� ��.I ���¢ �� , �5_e2q�9 <br />Stato i..icense Number (requlred) City of Everet�t Busfness License Numbor (required) <br />Pro oS . ���� <br />p, ed Use of Bwlding Contract prico of Work <br />Square Footago (IF rosidential new conatruction, remodel or addillon) <br />Number of devicas�(li Iow votta.ge) <br />boscripilon of Worl� to Be Done; <br />CITY O�' �VER�TT LOCA� SALES TAX COb� IS 3105 <br />�-�! ....0 l� — ^ ��3 _ <br />Caitacf Person/ 'ontact Numbor/�mai( <br />�.�ac <br />I frereby ceriify that I have read and examined this applicadon and know tHe sarno t,o Ue true and <br />correot. �111 provlslons oflaws and ordinanccs ,qoverning thr's type of wark will be completed <br />whoth�r specffiod herein or not. The granting of a permit does nat, p�sume fo ,giva authority to <br />vlolate or cancsl fhe provisions of any athsr st,ate orloca/ law reguletrng consfrucf/on or the <br />perfonn�nce of const,rra,tion, Th�t 1 am authorized by the owner of this pmperly to p�rfnrrn tl�e <br />work for whicl� appllcation is madQ and ! comply with ihe State Contractors l.aw 98.27 RCW and <br />296, 200 W/1 C, <br />RFv1; �'o esrotv2oaa <br />FFF <br />���k � <br />PFRMTi"# <br />� i�b� "2 l I <br />