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J7/98/2014 :206 253°526a81 NGr2TH HILL t�tAI�TR PA�E bl/B1 <br /> � <br /> ELECTRICAL �'��PMIT A,PPLICATION <br /> CITY OF EVERETT PERMlT S�RVICES <br /> 3?_00 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX4?_5-257-8857—unvw.everettwa.org <br /> I <br /> � � ' �-� <br /> PROJECT ADDRESS � <br /> OWncr 1.foli Addre7c Ciry St0Ie/Zip Phonc <br /> p Q��B� <br /> ue5'�' �Uu �12C) SC �_�r2�'}' {'1�n,ll Li�c� �-y,�,�� Wf�-`-'1� �igL�J'a` 371CI <br /> Tenant !dnll AddreaS cl StntcrLn Phono <br /> L.r�n �. M1cc,n.-c /�/.rfr.t- '�nSO�}'le.rro.lt �L^ �I.bGI'�f14 �'r�' 30CC�� ��/�7- 7�U�� <br /> Elcclrlcai Contractof A1oil Addresa �iry Sletc2lp Phone <br /> �l- 8?.5 - �3 q /� !v� r/'/'r` l � � _L �4+' � CJ � lJLiIJ . pO <br /> Str»te Llcense NumDer Contract Prlce of Wcrk <br /> R�,�-a , '1 _C�,-�;S Icoase,-- <br /> Proposetl Use of Bwlding Conrect Person (Plan Revew) <br /> Square Footage Qf residentlel new construction,remodel or adtliUon) <br /> [// <br /> Numbor af devlcos(If low voltage) <br /> DesCrlplionofWorkto�eDone ,�jS�o�Qr � 4 k lP�nrci�Q�Q��C.Ohho�� <br /> / ( T <br /> OGW�d I�G �r �n v�C(O I q �Ce c�1�.c.t vh�-«U, ; � n.�.�� d� ..,,a <br /> ,-G, a ,• �_�n���',+���.�— rl n �+r C�� �3 i A , � 9 0���,�1 _-_--- <br /> FEE <br /> CITY OF EV�RETT LOCAL SALES TAX CODE IS J705 ��� 0� <br /> 1 hereby r.erfify(hat I havo road end oxaminod fNs appllcatlon ond knnw the sflme fo hAWa and <br /> � r,orrect. All ProWr,ions o//nu�s and ordinenees govaming thls typo cl wod�w!q hr.ecmpieted -- <br /> whether spvcifiod hefoin ornot. T�e qronbhg ot o permif doas nol presume ta give aufhod.y fo PERMLTlt <br /> v;ofote or cnncel the provisions ol any otl�erstaN or iocal�aw repwa�ing aonsrniction or tha � �� D� — D�� <br /> parfonnance o/consfrucGon. Thot 1 am outhonzed by fNo ownor of thls property to podorm the <br /> �vark(or wnfcA applt��Non is mode nnd I comply ivi(A tho Sfa(c Confmctora Low 18.27 RCW ond <br /> 286.200 WAC. <br /> �.,r.^—i � .�, . _ <br /> Slgnuturti ���_ �/��/ I� <br /> w��,sE��,,, � �� rl (� t�� � �i5����3.� �� PA �- � <br />