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ro r ...v., �o. .. �o.o.��..> o0 o..on�omr� ,nzs��vor.n. r.e.,,� n.,�i.,..,�,. oi.o.. <br /> . . . ' . .. . . . . � � . .. . \- . ... � , . .. �. . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 �a �-17� �3 � <br /> - 425-257-88�0 - FAX425-257-8857 —www.everettwa.org -C ��� Z ,../O,G <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - <br /> 4710 Gardner Ave � <br /> PROJECT ADDRESS. � <br /> Travis Jorgensen 4710 Gardner Ave Everett wEvsezos (206)307-9531 <br /> Own�r � . Moil AUtlmss City - Slate2ip Phonc <br /> - Ten�n� � ' . Idml Address . , Gry � � � � SlalelZip Phonc <br /> 3-D Electric, Inc 122 143rd St SW - Lynnwood . WA ! 98087 (206) 300-5222 <br /> EICClnC21 COflt(dClOf �� M1taii Address � � � . City � SIa1e41p � � _ phnnr. .. � � <br /> 3DELEE1942J8 . - $5,057.00 � <br /> Siate��cense Number • � COMrea Price or Work <br /> ' �posed Use of 8uildmg , Conlad Person (Plan Review) <br /> oescnptionotworktoeeoone �nSt2�� 8U(�IO�VIC�80 Wlflfl9 ICI flOUS2 <br /> NOTE WIRING IN NON-DWELLINGS IS REQUIREO TO FEE <br /> BE IN RACBWAYS, MC OR AC C�BLE. r/'�� <br /> ��V� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> 1 ho�oUy cr�rtdy lhat 1 fravo rood and oraminod fhis apphcafron and know(ho samo fo Do huo and � . 1_.. I� I 2— I O�j-� <br /> corrocl. NI provisrons ol fmv;and ord�nances govemmg this typo ol work will bo complototl � �,__ `� <br /> whothor spociliou hermn oi not 7he granlm9 ol�pr.rmrt doos nol presumo ro ry�ve authonry lo <br /> violnle or cnncr.l fhe prov�s�ons o/any ofher sfale or local lnu�reryulB(mq r.nnslniclion or Ihe � � � <br /> perfomi3nco o!Cons(ruclion. That!am aufhorized Gy!he o�vnoi ol this P���Aeriy 10 perlorrn tho ' <br /> . �vork lor�vAich appLcnh�n is maUe and!r.omply�vdh 1h� Sfofo Con(raclors Law 18.27 RCW and � � <br /> 29G 200 WAC. . <br /> �_� � 12/16/13 ._... .. .. . . �. <br /> _ ' naiJi� oa�c . .�...._ . . . <br />