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Aug 14 13 0932a Cole Electric LLC 360-560-0608 R� <br /> -- _ I <br /> I �LE�TRICAL PERMITi APPLlCATION <br /> � CITY OF EVERETT PEFLNl1T SERVICES <br /> i 3200 CEDAR STREET, EV�RETT, WA 98201 �� <br /> 425-257-8610 - FAX 425-257-£t857 —vw�w•everettwa.org <br /> � I <br /> � I <br /> 3K � � ��.� ��..�� q „� -', �; ', <br /> pROJECT ADDRESS <br /> Owne' <br /> MailAddfess _�—_�-�J C�b StatrJLip Phono �, <br /> 1 en3nl Mad AGdress Ciry 5[alrJZip Phone <br /> Co�e. I_lcv�rlc. L1 : 1�17 �oK `�L706 t�e.-...,.vr= <br /> li✓�/�- RSOZC� �i6o6G�.pc�i�l <br /> SlaldZip Phone i <br /> Eledrical Confractor Mail Addmss City � <br /> Gc��CGL� `i`� I P � $ I.SOU _ <br /> State License Number Contract Pnce of\Nork I,. <br /> Proposed Use of Building Cantact Person (PWn Review) <br /> Square Fool.��e(If residential naw consiruclion, remodel or additior) <br /> Number of devices(If low voltage) <br /> Descriplion of Work to Be Done: <br /> �n7 cc.'T �T�. 'iTi� C' IGGl-�: C•. I 5 $TG�Y� . L�. i /GG�. <br /> c r�cc�SS�.�'/ � <br /> C.��-�, c c�-.c rs G � (' cA �cc ��i�cc5 iS -- – <br /> --�. <br /> � <br /> FEE <br /> i <br /> CITY OF EVERETT LOCAL SALES TAX COGE IS 3105 � �� `y= <br /> 1 hereby ceRdy thaf l7�avs read anJ examined fhis applrca(ion and know lhe samc to be true and <br /> conacL All provisions o7laws and nrdinances goveming this type of viork wd!be corapfe[ed <br /> whefhe�speci,7ed herein or not. The granting ot a A�»t does not presume fo give aulhonty to PERMIT# � <br /> violate or cancel lhe provisions ol arty olher sfa(e orlocal law regufalrny const�uctron or the E V�� I? �8 � "`� <br /> peAonnarrce ol carsUuclion. That 1 am auttronzed by(he o�tiner of tfris p�operty to pcAorm Iho h — <br /> wurk lur tvLich app7;calion is made c+nd 1 comply witb the Sfnfe Contmr.fors Law 18.27 RCIN and _ _- . -- <br /> 296.Z00 WAC. <br /> :/�,i� �,� f�/ !Y f � 3 <br /> Si9��.ture Dalc <br />