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«2356 P 001/001 <br /> 04/?3/2013 21 58 <br /> � ELECTRICAL PERMIT APPLICATION I <br /> CITY OF EVERETT PERMIT SERVICES ; <br /> 3200 CEDAR STREFT, EVERETT, WA 88201 II <br /> 425-257-8810 - FAX425•25?-9857—wwv+•averettwa.org <br /> u..a.5-�3 � <br /> 3�'� � /3l�o� �c.,��� E �-3o4 -��R i <br /> PROJECT ApDRESS <br /> � Ciry Stota�Zip Pnona <br /> IOw�1e� U�,�J . MaiIAECtBss <br /> � S'l'�CJi�.I ��� �l�a�dn�/.t��'' �f?�/ `IL.P S/.? J��1r <br /> Tenant Meil AdCresa <br /> C��Y Stefa/Lp Phone <br /> �'�rctio�� J'rJ Po �d�' ��i�y �� �"��/ �� I <br /> ���, S1ataZp Phona <br /> EleMncalConlractor MailAdarecs � <br /> � I�YL-h,VJ'J'/�12 L/' ��orwor� <br /> Stata Licanse Numbor i <br /> i <br /> I ��� `f��1�� �� ContaCt Parson (Plan Review) <br /> Proposed use ot Buiiding <br /> Squara f0otega pf residantial Oaw construcGon,remotlol or aGdition) <br /> Number oFdevices(If low voltage) <br /> Desenption of Work to Bo Done: � ��l ���C v// <br /> FEE � <br /> �� SB <br /> CITY OF EVERETT LOCAL SAL65 TAX CODE IS 3106 <br /> 1 hereby cadiry tha(1 hAvo rood pnd oxamined this�pplicufion And know fAo samo t0 6o true und <br /> Icorrect. AlI provlslons o!laws anC ordinances goveming fhis type o(work will ba complotod ^ <br /> wAethei specified harein or nof. Tha gmnting o(a pertnit does nof presu�.ro fo 9ivo authodty to PERMIT# <br /> violatuorconceltheFiovisionsulanyothorstateorfocallawreguiatingconsfrucfionorlha ���D� � I ^n <br /> peAormaOto o/construction. That I Am 8uthorized 6y fhe awnar ol this propo?y to peAorm the J`"� '� <br /> wark Por w ir Applicadon is mede and 1 comply with tho Stete Cont�actors Law 19�27 RCW end <br /> 286.200 <br /> � z � <br /> SiOneture aIo <br /> � i•EY�EiJJ:'N] � • <br /> f <br />