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Oct 17 13 04:17p Gateway Electric 253-fl46-9033 P•1 <br />EI.ECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8H57 — www.everettwa.org <br />-' ti� = ti� i'ti�� l' �F%,�'k�iw9" t Jc�c i� <br />� L� � t L l/ C I <br />PROJECT ADDRESS <br />�� � 'S <br />Owner <br />Mail AdCress <br />Mail Aatlrats <br />ciry <br />City <br />Slale2ip <br />Slate2�p <br />Phone <br />Phone <br />� o„a, �, L 7 �• ��- <br />L � f� I`L�� r�il z 7�(7 f✓Yi�ri n��L(,��1 ����,�llC%ir� ���% li;J�.r— ��20 <br />SlaleZ Phone <br />Electnca� Conlraclor Mail Addmss Cily D <br />Stale License Number <br />C�mm���� fl�— <br />Proposed Use of Dmldmg <br />Square Footage (If residenlial new construction, remodel or additioa) <br />�,-/� <br />Number of devices (If lowvallage) <br />�' / `��- <br />Contract Price of Work <br />�c� L11.n� i b7f�'7�IL-\-�2i.� <br />Contad Person (Plan Review) <br />C,.{ <br />�+'"d� L� K% i a U'i v!' iG! S I i�t.�C (' IfZlxi IZ C T C� l'iv)i - <br />Description of Work to Be Dane: 11 <br />�1i' � f C'>r, L,�,t_..� ��s -,� r._.c n sc i=ati,�� r=�.; ���, c,i?L.,'�T'< <br />��YiY ��-'c n i i� Irj i'= I'• `C i t� �..i) i= n <br />\ <br />CITY OF EVERETT LOCAL SALES T/�JC CODE IS 710b <br />1 here6y certrly fhat ( have read and examined ttils app�icafion andW�ow fhe same to be trve and <br />corrocL All provisions ollmvs and ordinances goveming this type of wodc wi11 be cumpfeted <br />vihelherspeci�ed herein or not. The granting of a permit does not pres�me to grve authonty fo <br />violate orcancel fhe provisions o(any othe� stato orlocal la�v regulatlng consfruclion or Ihe <br />peAormanco of conslrudion. That 1 am aufhorized by fhe ovmer of fhrs proporty fo paAo.an the <br />work lor which applicotion is maJe and I comply wifh the State Conlracfors Law 18.27 RCW and <br />FEE <br />l � �t <br />PERMIT# <br />Ej�-�i�-l�l� <br />aFvist� NN�� . ` <br />�' ��ns e c � � � -�;;e <br />j� 1�J �/rY) c- n�T <br />� � ) ,9,vlf i � � <br />1� ��; -�7 S t;- S^S Z �= <br />