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JF.I;/24/?pll/Fi:; f':?. �'� P'; Greeis�d Heating <br />H�,r I;i. 7f1;� 1h _ <br />.. <br />ELECTRICAL PERMIT APPLICAT'ION <br />CITY OF EVERETT PERMI7 SERVICES <br />3200 CEDAR STREET, GVERETT, WA 982U� <br />425•257-2810 - FAX 425-257-8857 — wv.�v�.everetriva.o�g <br />APPLICATIONS ARC- ACCEPTED FROM 8 AM TO 4 PM <br />700q CCI b� �}-v �- s� <br />PROJECT ADDRESS <br />Cwner <br />Tenanl <br />1 � � �"� 7�� -1 f <br />1ayJ Hdtlress <br />I.ta:l Atlar9s. <br />��i��rsh�lcrPr�c 8� <br />Contractor GSa�iACCress <br />f%sycx�y�n/ 925NM <br />State L¢ense Numl,er <br />S�R <br />PropoSetl USC+ef 6wld�.ng <br />Syuare I�otl ge (I� 5idenGal now construction, remodel or addi�On) <br />LeSCript�Of1 01 WOr1c �O B8 DonE�. <br />C� <br />NOTE: W�RING IN NON-DWELLINGS IS REQUIRGD TO <br />BE I� RACEWAYS, MC OR AC CA6LE. <br />Ciry <br />Gty <br />Sf- S <br />City <br />Stato2'p <br />SkIeL'.ip <br />Slace2ip <br />� �.�C� <br />Contract Ptltp of Work <br />(y-?_5) , <br />3�-7 - , <br />�3'7 z_ <br />pr,pre <br />I <br />Phono � <br />b 7832525 <br />Ph;ne <br />� <br />n— ��r; — <br />ContactPer,on (PlenRevieW) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I Hare�y ceRrfv fhat 1 hovC read and oxammed tha applicclicn antl know fhe s3mo to be Irua and <br />conect AO piov�s�ons o/ lavrs ond ordlnenres gevem�ng ;hi5 typB 0��'+C�N w+ll be completcd <br />whBth�ISpBcificd hA�9iR 0/ 007. TbB grdnfing o/a CAmnt tloes notPresume to give auQ�oniy to <br />v�oia;a o� cancui tno provisicns o� any oL7er sfafe or/ocal law ragu�aLng cons(raction or the <br />peAormunce olCOnSI�uG110O. ThBt I am autdonz5d Oy fhe o�ancr O/fhi5 prop0i��lo paAorm fho <br />wCrk for w�i[h appHcnlion is matle and 1 GOmply wdh N� Stafa Con6actors Lnw 78.27 RCW And <br />256.£4��1'A?�"� <br />� <br />FEE <br />�v � <br />�lyp�-IZi <br />