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Jan, 22, 2015 3:07PM Stoner Electrlc Group �/- No, 263U/�P. 1 <br />�!� r�° � d' �4�r�t e�.J'T-' <br />�b�-���-��� <br />EL�CTRICAL PERMIT A,QPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-6657 — vwvw.everettwa.org <br />�2 9d � %-r���� �iiE��-rr t��y. <br />PROJECT ADDR�SS <br />Ownar <br />Mall Address <br />Ciry <br />Slate�2�p Phone <br />}��'�I� /�v�/� .12�0�0 ,�.�"�%7fE1-Cr .F1��lTYIW� � �'V!Y � il'�A�li'��7'��D <br />Tenant Mall Address Cily Slate/'Llp Phone <br />���/�'t2 E��Ric:� /.� c /� �-wq�.r�i� I�� �ZZ�� �� `l�S`�a <br />�lectrical Contractof Mall Address Cily 5lale/Zip Phone <br />��,���.��..� <br />State License Number (required) <br />��-� c�.,.. <br />Proposed Use of �uilding <br />Square Footaga (If residential new conslructlon, remodel or addition) <br />Number of devices (If low voltage) <br />0 3���3�, <br />City of Everett Business License Number (fequirad) <br />'�I�.�c� b � <br />Conlract Price of Work <br />��.vis Hr.�f� �M B � 5a�—�OG��/-F <br />��cJ�lrSW �o ��'p,e�/�R �+Pou'i� CoA� <br />Contact Person/Contact NumbedEmall <br />Descr+ption of Work fo Be pone: �'J1 "Z7 �Q�z�Or�-G�� �e,� ��g-�Z� �r¢-� ��G� C�iS� <br />lv �".� v��.�rJc.�" �`�%- C-1 <br />CITY OF EVERETT LOCAL SALES TAX CODE 13 3105 <br />1 hereby certify that l have read and examined fhis application and know the sarne fo be irue end <br />correcf. All pravisions of laws and ordlnances qoverniny fhls lype of work will be completed <br />whe fher specifiad herein or not. The grenting of a permit does not presume fo give aufho�ity tv <br />vlole�e or cancel fhe provlsions of any other state orlocal law regulating construclion or fh� <br />pertormance of construction. That / am authorized by the ownar of fhis properfy to p.erform (he <br />work far which application is made and I comply wi�h the Sfafe Confrec(ors Law 9B,27 RCW and <br />z96.200 WAC. <br />Signalure <br />AEV7SED OB/OQ20 f 4 <br />FEE <br />(J �' .�� <br />PFRMIT# <br />E / �C� ��- // � <br />