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JUL-31-24�1� �7: 2�A FROM: GAHL ELE� :TRIC-EUERET �25-`5�-29y9 TU: �L`'L`> I�-��uC I F'. 1%1 <br />� � <br />ELECTRICAL PERMIT APPLICATION <br />C(TY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />y �� �a <br />��� �°r� /N� <br />PROJEC7 ADDRESS <br />14 Vi� <br />��.cAL��►2 f°�2a('r��eTrk.s 3�d� M��u�-wt� ���.e�Tr 2�zo1 <br />Ownef Mail Address City State/Zip Phone <br />i�JaU�►vb0/�sT�,2s 33 ti/�l��u� I9va. �r�,ca.,�rr �-✓y ��r�Ul y�S-7S0•(�28A <br />Tenant Mail Address City State/Zip Phone <br />d�.Jli v� L E.LEL TI�IL .3�lOi IyLL{� Di,dlrH LL il/� E tyh..Q�: tr �✓A- q Sf 7D t �/.? S� ' S- U/D <br />Electrical Cantractor Mail Address City Slate/Zip Phone <br />I�I�►�Lc�E[ q1GQ� <br />State License Number (required) <br />Proposed Use of Buiiding <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />���Q�� <br />City of Everett Business License Number (required) <br />�- a, 3� �� <br />Contract Price of Work <br />+'�u Sr�u�us �c.0 �G G t -Osi ► <br />AS�GVGMS�L�) L�tC�N►G .CbYV� <br />Contact Person/Contact Number/Email <br />Description of Work to Be Done: __ % 0 �- liwl F � KB,PAMr' L AN✓� G/✓,'_Gu I TS 'f'p ���OG�4��� ✓J <br />_ � �',t' r'��I �'K T <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3905 <br />I hereby certify that I have read and exemined fhrs application and know the same fo be true and <br />correct All provisions of laws and ordinances governing this fype of work will be completed <br />whether specifred herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel lhe provisions of any othcr state or loca! /aw reguloting const�uction or ihe <br />performance of construction. That I am authorized by fhe owner of this property to perform the <br />work for which application is made and I comply with fhe Slate Contractors Law 18.27 RCW and <br />296.200 LNxtS�. /� /7 <br />�-3�-is <br />ature <br />REVlSED 08�t7fi2014 <br />FE� <br />��L��� <br />PERMiT# <br />E I �j O �--2-�� <br />