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� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-6857 —www.everettwa.org <br /> J Z /D�;� <br /> 3301 BROADWAY EVHRETT, WA 98201 _ <br /> PROJECT ADDRESS <br /> YP/CA /NIK WALKGR 1 118 STI1 AV8 SEATTLi: \VA, 9S 101 N/A _ <br /> Owner Mail Address C�ty State2ip Phone <br /> l'�VCA - EVERGTT 3301 BROADWAY GVERETT WA 9820] N/A <br /> Tenant Mad Address City SlatelZip Phone <br /> �IACDONALD MILLER 7717 DL-TROIT AVE SW SL-ATTLE �VA, 9810G (20G) 768-4275 <br /> Electrical Conlractor Ma�l Address Ciry State2ip Pnono <br /> MACDOMF9726F 1/6/2015 5500.00 <br /> State License Number Contract Price of Work <br /> COMMERICAL DARLA DOLL <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> N/A <br /> Square Footage(If residenlial new construclion, remodel or addition) <br /> Number ol devices(If low vollage) <br /> Description ot work to Be Done: RELOCATE GaISTING (314' LIGHT FI7CTURES, iNSTALL (3) I20 VOLT, 20 <br /> AMP 1 PHASE CIRCUITS AND(61 L01V VOLTAGf: CABLE CONNGCTIONS <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 r' 1�. ,!�'�T <br /> ",/ -� '"/ V <br /> I hereGy ce�tily(hat 1 have�ead and examined fhis application and know fhe same fo be true and <br /> correct. All provisions ollaws and oMinances goveming fhis type ol work will be cornpleled <br /> whefhcr specificd herein or not The gran(ing ol a permi(does not presume!o give aufhonty fo PERMIT# <br /> violate or cancel fhe provisions ol any other stafe or local law regula(ing construcfion or fhe ^ � �� r Or � <br /> performance o1 consfiuclion. That 1 am authonzed by!he owner ol fhis property fo perfomi fhe C `c7 <br /> �vork lor which applicafion is made and I conrply wilh the Slafe Conlraclors Law 78.27 RCW and <br /> 296.200 WAC. <br /> "�j� / 12/10/2013 <br /> S�gnaWre Date <br /> nev;s[o a..o-u <br />