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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> 10633 Evergreen Way S, Everett WA 98204 <br /> PROJECT ADDRESS <br /> Joseph & Charlene Pignataro 10633 Evargreen Way S, Everett WA 98204 <br /> ON71Ct hlall Mdmac Ci^/ f.taldZip Phona <br /> Pignataro Volkswagen 10633 Evergreen Way S, �verett WA 98204 425-348-3141 <br /> Tenant Mail Address . Gi;y Srate2ip Phone <br /> Energy Management Services, Inc 15008 35t1� Ave W tiC, Lynnwood WA 98087 425-741�526 <br /> EleGncal Contractor btatl ACdress Ciry Stat�Zp ?hr.no <br /> ENERGMS913B6 D ��6� O U � <br /> Stete Llcenae Numher(reQulred) City of Everett Buslness License Number(requiretl! <br /> 11,000 <br /> IProposed Use of Building Contrad Price af Waric <br /> May Au -425-741-3526 <br /> Squgre Footage pf residentlal now wnstruclion,mmodel or addttion) Contact PcrsonlContact NumbadEmall <br /> Nwnber o(devicxs(H low voltage) � <br /> Descnption of Work lo Be Done: {�e�kl�q �Or �Iqhtlflq llpQfBde �O LE� <br /> FEE <br /> CITY OF EVERETT LOCAL SALLa'TAX CODE IS 3103 ��� b Z� <br /> I horoby cwUly 1h�t I bavo road nnd examined this appliration and know tho sante fo Ae We and <br /> wrrecf. All prvvisions ollews enJ ordinnncos gov9nling tl�is typ0 of wORc wlll be complefed <br /> wno�bur specrtred h�re�.,arnot Tho granhng o(a perm/f doos not presume ro give euthoriry to pE�.;Rg <br /> vidate a eancel fho provlalons o1 any ofhers(s!e or Ioca1!aw regulating conshucYion or tho ^ � f O�_�� I <br /> �edormance of� instiuction. That f am authonzed by the owner ol th:s Aroperiy to pedorm fhe t L, <br /> wak Ior whlch eppl/calion is m.ade end!comply wifh ihe Sia�e Cantraclors Lew�827 Rcw ane <br /> 296.200 W.:C. <br /> � 3/2J2015 <br /> Slgnalure � �paW <br /> / <br /> � rte�smoacs�m� � <br />