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OQ/13/2014 14 17 FAX 2067630506 �OC3/OJ3 <br /> �LECTRICAL PERMIT APP�CATION <br /> C�TY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257�910 - Fi4X 425-257-8857 —www.everettwa.Org Q ` io� _� ��/ <br /> C ���� � <br /> I Zo� Cea�rs m ��� cJ�-� � I o3 <br /> PROJEC7 ADORESS <br /> aff- o ��e�� o �g �+/ER�77 L✓�' g� �4 7� � _ <br /> C� �Stel�2lp Phone <br /> Owner M�II aaaieee <br /> � .M /� r� / L 1 R. –E�/il� �L ie7l w� 10ly� �.S I_7!!N�—l-� <br /> � �(ICa /f{/J LITiTT3 Statefllv P�ona <br /> Tenenf Ms i Aaero�e � C�ry <br /> 1/� ��� 8a y6 � SF�r,� w� 9�i � �y�� <br /> r— � SGtu2ip Phone <br /> EteqMcel CoMractOf M�II Addreu �' <br /> V� �c� �Z ��.+ OD 9 4� <br /> Stele Lloense NumCer(ropulroen Cily of Evnrori Businoss Ucense Number(reQu�red) <br /> (� � �( aZ��ZZ� <br /> l�C ! O Ft 1,�'P ContraR Priee of Work <br /> ProposeQ Use ot u Iding <br /> 17 � �'y �L�`.iJe���rn� �Y�'b b9l� ?3 S'''S� <br /> Square Foot (If resltlo�tiai new constru�tion,romodel or a0dltlon) Contnct PanonlConlad NumbarlEmall <br /> '�;-���. . :J��.sw�e Jc.c� . �ok. <br /> 10 <br /> NumDer of devices (II iow volla8�1 n <br /> � n S <br /> Descrlption of Work to Bo Dane: n A � �- •�-•%"�-?`�� • ^'.'- '' ^'� o_f1� �� :�Is�LLi (�iL'� <br /> p�t��� POhG�ir�/ X�InI�S <br /> FEE <br /> ClTY OF EVERETT LOCAL SALES TA%CODE 18 3t05 �-{- 3� �� <br /> i <br /> 1 heroby caif/y thet/heve rend and examinod thls applfcation end know fhe snmo to Do truo oml <br /> conecY. All provisions of laws and ordinonces goveminp lhls type of wo�fc wfll De tompfote� pERMIT# <br /> wAeNerspecMee�eroin ornol. The gienfing o/a pormlf does notprosumA to glvo aufhori ta <br /> vlo/nte orcancel fAo pro�isions of eny othnrstate orlocal law regulaBng cop4hvc0on ortho I � O� ' �� l <br /> por/ormence ol const+ucNon. 7het 1 om euthorlre0 Dy the owner o/Nls property ro peAcrm fha E <br /> work lor whkh app�ke6'on is made and 1 compty w1M tho Stato Contractors Lew 18.27 RCW end <br /> 29A.200 W <br /> gr3 �i _ <br /> b � e <br /> �rns�oeovia,� <br />