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SeD• y. iGi4 1:41Ah' Advarce�i Ertry, cysl�ms <br />iJo.8990 � <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERI'JIIT SERVICES <br />3200 CEDAR STREET', EVERETT, WA 9A201 <br />a25-257-8d10 - FAX A25-257-8857 - �v�,v.everetN�a.ors� <br />228 SW Everett Mall Way Evereti WA 98204 <br />PROJECTADDRESS <br />9-�9- �y. <br />�iyby�b u3 <br />Goodwili Industries Seatlle 17656 6th Ave Sealtle Wa 98134 206-329-1000 <br />pvmBf !.1aIInOCrou Ciry Statc/Zip 7pone <br />Tonan( <br />Stoner Electric <br />Eledncal Con�raclor <br />EC STONEEC322PG <br />State L�cense Number (required) <br />Retaii <br />�'wposed Use of Ciuilding <br />MailAdaro,s�- � �� <br />SWte2ip ... . . . _. phorre _ .. <br />1904 SE Ochoco St Milwaukie OR 97222 503-462-5200 <br />ldeilAd�ress Ciry SlatelLiP Pnor*_ <br />Spuare Footage p( residential new con5lruclion, remodel or addition) <br />Number oldevicrs (if law vallage) <br />039886 <br />Qry of Everett Businrss �i�enso Number (reGuired) <br />5350.00 <br />Cantracl Price ol Work <br />Tom Raske 253-864-4484 <br />Con�act PersoNContact NumOerlEmail <br />Tomr@stonergroup.com <br />D�cnptron ofwortc �o ee oono: Remove and Replace two main eniry bi-partinq aulomatic doors <br />We will reuse existinc7 ser�ice. <br />i woultl like io pay by credit card please call or e-mail me when permit is ready <br />CfTY OF EVERETT LOCAL SALES TAX CODE IS 3i05 <br />I hereDy certily fhat I have read end exomined mis applicafron and Nnow �he samo to be true and <br />correcL All piovisfons ollnws anU ordinances gOveming (his type ol work will be compfeled <br />whethcrspecificdhoroin ornoL The grentir,p o/a poimif does nol p�esume ro yive aulhonly(o <br />vrolate or �ance/ the provrsions o7 any ofher slale or locel law regulafing consvocllon or the <br />poAormance ol construc7ion. Thaf ! am authorized 6y flrp owner o/ I/tis prope�ty fo pe�(orm fno <br />viork lor which applicetian is matic and I compty wl(h fhe Stotc ConUactors Law 18, 27 RCW and <br />296.100 Y✓AC. <br />rFv�SED CdQi:O�e <br />FE[ <br />5�00 <br />PERh11T� <br />� � �f-o9 - o �I-3 <br />