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/ <br />Oo-Oo-13;14:26 ;From;Watson SccuritY To:14252578857 ;4252267382 r � <br />ELEC"1�RICAL PERMIT APPLICATIGV <br />CITY OF �VERE�TT PERINIT SERVICES <br />3200 CEDAR STREET, EVERE7T, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www•everettwa.org <br />lkos SE. c���-rr mr�l� c,�Ay �A <br />PROJECT ADDRESS <br />otvnor <br />Tonant <br />J�P�� $ dV Ki <br />Elecl�cal Conttactor <br />l,�a�-�SoS6'8�o�t3 <br />Stato License Number <br />M3il Addmsa <br />Mal� Address <br />Mail Address <br />Clty <br />cRe�r mAll W <br />City <br />�. �utiTo� <br />City <br />� Y� ' L - <br />Proposed Uso oi Building <br />Square Footago Qf residentlal new constroction, remodol or addltlon) <br />�So <br />Number of devices (If lovi voltage) <br />Description of Work lo Be Dono: �hs <br />;��(.u�� �A-ll (,o�Tl� �i'rAmoc,v.-i`/�.r�J wc (,��tl �Ay <br />w�-rN c�L'�: •r � dr,'� - �"/�l�N �C �o� <br />CITY OF EVERET7 LOCAL SALES TAX GODE IS 3105 <br />Stale2�p <br />WR i�S <br />SlatolZip <br />SWto21p <br />� i°I GYx�•�� <br />Contract Price of Work <br />���� 6�p� <br />Contact Person (Plan Roviow) <br />! horoby ceRlfy that 1 hsve road ond examinod this applicafion and know fho samo to be Iruo and <br />cor�ect. All provlslons otlAws and ordinances goveming fhis type ol wor7c will be comple�ed <br />�ihotlier specifiod hereln ornot. The c�ranling o/a permit does notpresume to give authodty fo <br />violate or canCol fhe provisions of any ofher sfato orlocal law re�ulaUng constructlon or fhe <br />perlomiance otconstrucHon. 7hdt ! am aufhonzed by the ownor o/this proporty to perfwm Uie <br />tvork for which e�Gan is �d I comply w+lh the State Conlractors Law 18.27 RCW ond <br />296.200 W� <br />�%�, 6--6- �3 <br />PEV/S�:DY10/1] <br />Phone <br />ig`Z�� <br />Phanc <br />2�Z.S <br />Phano <br />LAh1� <br />FEE <br />L V � V� �,/ <br />PERMLT# <br />E f-�D � -- �33 <br />