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J u n, 28, 2015 11: OOAM <br />Stoner <br />� <br />Electrlc Group <br />� <br />No, 3628 P. 1 <br />�LECTR�CAL P�I�MIT APPLICATION <br />CITY OF EVER�TT PERMIT SERVICES <br />3200 CEDAR STREET, EVER�TT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetfwa.gov <br />I�'�' �,�-�', �S� <br />��r �O � l�v?��d"c,C�^ C�Y���7� � <br />PRQJ�CT ADDRESS <br />Owner <br />�� <br />Tenant <br />Mail Address <br />` 2� o <br />Mail AddYess <br />Cily <br />Cily <br />Slale/Zip <br />i -�v�e�, <br />Slale/Zip <br />Phone <br />, /' LR <br />�C4u <br />9�� 3b72o. <br />Phone <br />d"�' DY�i . �rv�C77P/� /�✓G /� � J���4.'pC0 / / � �la.JONL�/�/�-� � � A �T ���. �v�7�Z i� 7�+ <br />Electrical Confractor Mail Address Cfly Slale/Zlp Phone <br />�.v��—c �'r��'l <br />Stake Licen9e Number (requlred) <br />Praposed Use of Buildin� <br />Square Footage (If residenlia( new construc�ion, remodel or addition) <br />Number of dev[aes (IF fow voltage) <br />� 03�1 ���� <br />Clfy of Everelt Business License Number (requlred) <br />�� c� <br />Con�ract Price oF Work <br />:�Z-��.c�..s �sfa-�zo�.t� �v3 /iE>2.—�1 � <br />17�'rtiis r./ � �7Dit�,� � �E'o v� ��s-r <br />Contact Person/Confact Number/Email <br />Descriplion of Work to Be Done: ��'�aC,¢� ��,�;�L� /�!/ �C/�7���a.e/ /�,�4�� <br />C17Y OF EV�R�TT LaCAL SAL�S TAX CQI7� 15 3105 <br />1 hel'eby ce/fify Phei 1 hsve re&d snd eXBmined fhis applica�ion �nd knpw fhQ s�me (o bo f�Ge �nd <br />correct. All provisions of laws and ordinances yoverning this type of work will be comple�ed <br />whefher specified herein or noi. The �rantiny of a permit does not presume to give aufhority to <br />violsia orcancel fhe provisions ofany ofherstafe orlocallawre�ulating construcfion orthe <br />perform&nce oP consiruciion. That l am suPhorized 6y fhe owner of thls praperfy to pe�form tha <br />work for which appllcstlon Is made snd I comply wilh lhe State Cont�actors Law 98,2i RCW and <br />296.200 WAC. <br />R�ViS�D o&oc✓1oi4 <br />FEE <br />� ��� �� <br />P�RMIT# <br />E��Q(�-��i <br />