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425-252-166G c.m.heating t0 35�.46 10-15-2015 3/J <br /> ELE�TRIC� PERMlT APPI_IC/�'ION <br /> CITY OF EVERETT PERMIT SEkVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9820t <br /> 425-257-8810 - FAX 425457-8857 —vr.rN.everettwa.org <br /> j �� � NIG�O�IGI �� Eisio�az3 <br /> �o�a� --15 <br /> � <br /> 2pJEC�RDORESS <br /> �S �}►ZN b LD ��� m �� �re. e�re�� ��� ao.3 �a�;��� <br /> inff I.tall Address City Stale2ip Phonc <br /> nant hlallAddwss Clty Slate2ip Phono <br /> 'rn i_,��ec��'}lY1G (YtL 1�415 P�raidu�i��� � � �UR a8�.o� ►�z5 2�9 �L��� <br /> �c!ricalContraclor IAailAddress City Slale2lp Phone <br /> ('�mN�Ml�g�� b►� o i (�oaR <br /> �te License Numher(required) Cily ol Evereil Business License Number(required) <br /> �Oli� � <br /> �posed Use of Building Canlract Price of Work � t�� <br /> �-Y�RQ�.t4��1.�'�"f�"e4J-o,1.� ��O <br /> vvtn.�o[Q:Ylnp Wh�v�10�.r^►� � <br /> uare Foatage(If rosidemial new censtruction, remoGel or�ddilion) CoNact Person/CoNaa Numb�r/Email U <br /> m�er ol dovices (If low vcltage) <br /> scriptlon of Wark to Oe Donc' 1.L� /��1�I1 !1l1-.��J-1 T -- <br /> FEE <br /> fY OF EVERETT LOCAL SALES TN(COOE IS 7105 �j� �� <br /> � •J , -- . <br /> :mGy wriify fhaf I ltave ruad nnd exominad thls appficallon nnd kno�v tho samc fo bo fruo and — <br /> -ruct. Al!prnvislons���la�vs and aidinnncos govoming this typc o(worN�vlll Ge comp!ofod <br /> eUior specffied hereu�or nof. The granling of e pamiil docs not p�esume(o glve aulhon�v 10 PEfihiIT# <br /> •lato orcanccl fhc piavislons o/any ofhersfafe orlocel law rogulaling consfrucfion or(ho � I��O � n �� <br /> rfam�anco olconstnicfian. Thaf 1 am au(honzod by tho mvnero!lhls proporty fo perform thQ // <br /> �rk forwhich appiicalion!s mude and 1 comply�vilh Ihe Stafo Confraclors Law 18.27 RCW and �' <br /> 6.200 WAC. <br /> � Slg�-�� Uale ���b <br /> nseocsosvau � <br />