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Dec.25.2013 08:44 PM Community Electric LLC 3606�987 PAGE. 1/ 2 <br />� <br />�L�CTRICAL PE1�11I��T ,�PPL�C�►TION <br />CITY OF EVERETT PERMIT SEl�VICES <br />3200 C�DAR STREET, EVER�TT, WA 982b1 <br />425-257-881 �- F/�1X 425-257-8857 — www.everettwa,org <br />--� i�i ���= -(•�--�' Tiy/<� e, P <br />PROJECT ADDRESS <br />�iI �c-h� e l��w��� �Sso� w P����.f� �:-v�r�7 J����a ( G/��S- 7�s�'-.. <br />Owner Mall Address City State/Zlp Phone <br />Tenant <br />Mail Address <br />C ity <br />State/Zlp <br />Pho�e <br />C � 1'Y%%�% �/!�J / % � �7 lr%C l �'IC 0 l v � � � � ��f1 / Y � �-DI 1` Q. L� c�cl'i" (.�//�i' / 0 � � � / 2.-� � 2 Y3 ` G/ �� <br />Electrlcal Contractor Mail Address City State/zip Phone <br />� .c�.n� ,�-. �� /�5�/c,,�s� <br />State License u�l m�qulred) <br />f�roposed Use of guilding <br />c10 -�� � <br />Square Footag �� residential new constructlon, remodel or addition) <br />� <br />Number of devices (lf Iow voltage) <br />Description of Work to Be Done; <br />,� r �cf �'p f— <br />City of �verett Susiness Llcense Number (requlred) <br />SC� d <br />Contr ct Price of Work <br />�C�.�.�r�lrJ: 7 V' � �� 7',�'i � � t+7.S�, <br />Contaet Person/Contac umber/Email <br />�' <br />�:�-�'1Gi V �j t; ��� C�V� t' C� i <br />�'� �,�e �,�' S 1�.�.Q � - <br />CITY OF EVERETT LOCAL SA1��S TAX CODE IS 3106 <br />�. � r. <br />! hereby certify fhat I havo rsad and examined thls eppllcetion end kt�ow fhe samc to be true and <br />correct. A/1 provrsions oflaws and ordinances goveming fh/s type oiwork wN/ be completed <br />whether specifled hereir7 or not. The granting of a permit doas nof pr�sume fo glve authonty to <br />violate or cancel fhe provlslons of sny other stete or loeal law regulating construcf�on or the <br />performance of construcffon. That / e�n aufhorired by the owner of this property fo perforrn lhe <br />work fo� whlch a/�pllcatlon Is mada and ! comply with th� State Contr�ctors Law 98.27 RCW and <br />296.200 WRC, _ „ <br />�f^U� <br />REVlSED 08/JG/2014 <br />3�� � �. � y ���, � 7 <br />�;�\ `f-t 1 �'., �.�._ <br />F�� <br />���� ��. <br />PERNi1T� <br />E I !_� l�'� -� ��� �� <br />z� <br />�Q b j� <br />