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DEC/23/2013/h10N 02:08 Phf <br />ELECTR.TCAL AP - Get PDF.aspx <br />FP[ Seattle <br />FAK No.4252909600 <br />P. 001/001 <br />p:1/ ww w.eve retbv a. or�/Get_PDF.aspx?p dtTD=3 5 <br />ELECTRICAL P�RIMIT APPLICATION <br />CITY OF EV�RETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9$201 <br />425-257-8810 - FAX 425-257-8857 — wwvi.evereriwa.org <br />Z10 �1,.� F�-�} hn�11 l��w �ide,�, �?� <br />PR0.JECT ,4DDRESS <br />owner <br />Meil AaO�sss <br />Ciry <br />/2—'�6—�3 <br />C 131z—I� <br />�.�1:�.�F3 q� <br />StetefLD PhopO <br />`���►��� Z►a �,.�� Y. �- �� wa,�..3c� `� � �e�r wF� �r�l <br />Tenant 41ai1 Adboss r;y SlatrJZip Phono <br />4°�s'- <br />�re, �rs�-et�it9n �-c� `�i� ��K �Z�o�IZ �'C2'�sh-e�11 vo9- Q��aFSZ. L9o- 96c� <br />EIeclYcal Cortiraeto� M�il ndd�ess City � S[o[e2ip Phone <br />� ��L�Q1�`'�Zlvr11.� <br />S1ole License Plumbei <br />��nm.e�C}�� - Q.fl.�`Q:.� <br />Proposod Uso otBullding <br />Squnre Foaingn (If resldenllal new conslrucllon, remoael or oddi110n) <br />Numbqr af ds��lces (II IowvOBage) <br />� ZSa�.- <br />COMtact Prlce of lNark <br />� �oa,�ti.r. <br />Conlncl Person (Plan ReWew) <br />Doscrlpllon ef Work to Bc Done: �--C�.7 �Jp,�a OQ _ �;� ��m a�,�i�,� _"rT <br />_ �.a� �m�_ � C�ur� <br />1 9 e <br />CRY oF eVERerr LOcqL Sq�,ES TAX CODE IS 7105 <br />! herefiy r.cRdy fh�t I h�ve read and examinud (his applict+tion end know thc Samo fo bo truo artd <br />corru..�l. All provisirns o!laws ond ortilnonces r�oveming Ihis typo ol work oyj�� 6e complefCd <br />wAethcrapeGlletl hcroln ornaf. 7Ac �rnnryn, p a! a/wmiif does not prer.ume lo givo auUplity to <br />violufe or canccl fho provisions oI any otn�rstnfe orlocol !aw rcgulaiing wnafn�ction or tne <br />poAonnonco o/ com, huclion. Thnt 1 am outhorrrod by fnn avnoro/thfs propeAy to paAorm (he <br />waJc Ioi whtch eppllca(ron is made qad l con�pty witl� thc Stotc Cuntractors Law 18.27 RCW nnd <br />2B6.7pp WAC. ! <br />xevis�yr✓n <br />FEE <br />117 SO <br />PEfN1IT# <br />�►3�z- fsl <br />1 of 1 <br />4/R/2013 924 AM <br />