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425-259-2794 0�-05�.35p.m. 06-23-2015 ? �2 <br /> ELECTRICAL P'ERMIT APPLICA�'ION <br /> CITY OF EVERETT PERMIT SERVlCES <br /> 320D CEDAR STREET, EVERETT, WA 98201 <br /> 425-?57-8810 - FAX 425-257-8857—www.overettwa.org / `•� 3_� 5 <br /> �o <br /> �,�� �73 <br /> 4616 College Ave <br /> PROJECTADDRESS <br /> John Mock <br /> Ownaf MallAddress Cily SlatafLp PMno <br /> Tonnnl MallAddmsF Clly Stalo/Zlp phana <br /> SF,ahursl Electric 2915 Chestnut St EVerett WA/98201 425-258-1882 <br /> Eli�c'�IcalConUactor MnllAddreva Clry SlntuRlp Phonu <br /> SEAHUE1099QN 18763 <br /> Stnto Liconse Number(required) Cily o1 Everett Buslness Licunso Number(raqulredl <br /> Resfdential 1000. <br /> Proposad Uso of Buildin0 Contract Price of Work <br /> Ross Prather 425-754-6077 <br /> Square Foolepe(11 residentlal newconsWcllan,rvmoJel or addiUon) Conluct Purson/Contact Numbor/Ernoil <br /> Numbar o�devices(If low wllapo) <br /> noSo�Puon oi wo�x�o eo oono: Add new 100Amp panel fn shop; fed irom overfiead run to panel from house <br /> �E <br /> C�T'Y OF EVERETi LOCAL SALES TAX CODE IS 1105 �^�+ � <br /> I horoby cortfly fhof I havm m�d and oxaminod flils oppliceflon end knaw fha samo fo ba Iruo and I / <br /> coiracf. All piovlsfans o/laws and onilnancros povoming fhls typo of work wlll6a complofad <br /> whafhor spar.(�od homfn or not Tho pronfing of n pormlf dnas nof pmsumo fo givo aufhority fo pERMrT'X <br /> vinfaln nr cancol fhu provislnns o/xny ofharsfafo orlocallawregulafing cnnsfr�cfion or thn r I r./���I�� <br /> poAormnnco o/conslnicllon. Tliof I om authorfiod by Ihn ownoro/fhis proporty fo paAortn(ho C �� U <br /> work lor whlch appllcaflon Is mado and/comply wilh fho Sfefo Confraclors Law 1B.27 RCW and <br /> 206.200 WAC. <br /> D ��� —lS <br /> ��� Dnlo <br /> Arnsen osvmoi. <br />