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Sep 0�1 15 Y��:'Op Cole Electric LLC 360-669-GoOE P�2 <br /> — -- I <br /> ELECTRICAL PERMIT APPLICATION I <br /> CITY OF EVERETT PERMIT SEI�VICES <br /> 3200 GEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-f1857 —w��vw everettwa.orr� <br /> �Y�% r Lo.�bar:/{ r�ve. <br /> � � <br /> PROJECT ADDRESS <br /> Owner Mad Addrass City StatelZip Phonc <br /> Tenent Mail Address City State/Lp Pho� <br /> Cu�c C�C -"I�'c LLC PD rox Q,'L70b F�cti�--�o� a W.4 �f9UL8 >'GvG66o6ri8 <br /> Electtical Conttactor 0.1ai1 Address Cily SlatelZip Phona <br /> i alee ��- `� r'f I �5 � ISDO <br /> State License Number Contract Price of Work <br /> , Proposed Use ot Building Contact Person (Plan Revievr) <br /> '� /�� f: j���. <br /> �� � �l(�� ,� �. <br /> �i Square Footage (I residential new construdion,remodel or addition) <br /> I� Number of devices Qf low vollage) <br /> II D�scripLivn of Wurh lo Be Done. _"�S�'��T W�•"••�� I�cn�i •T c=� /–�f�"�'� 4 S <br /> vleGeSSG�� �� ��� '-�� r G�-.v� at �l �ircv�Cc S <br /> I 'r'EE � � <br /> CITY OF EVERETT LOCAL SALES TN( CODE IS 3105 ��I U(I u <br /> 1 hemby ccrtify tliat 1 hove mad Und r_xnminr.d Oria applrr.atinn nnd lanow(Be same 10 fm. truc;ind <br /> I ` <br /> rnfre.r.t. A77 provivons of Imvs nnd n�ciinanees goveminr�this type oI��roM wiU De completecl <br /> whr.thr.rspr.cilr.d hr.reio ornof. The clnnRng ol a permil docs nof presume to give authnrity fo PERMIT� <br /> viofafeorcanceffhepiovis::��sofanyolherstateorlocallawrogWafingcensfiucliono�lhe � <br /> perToanancn o1 constroct�or�. Th:�t 7 am aWronzed by�ne owner ul(b!s prvperty(o peifunn!he E '� � ,�G�' a� ) <br /> worx lor whrch applrca�ion is made and I compJy wifh the State Contractors Laiv 18.27 RGW and <br /> � ' 296.200 LVAC. <br /> , <br /> ' i ��-,-�.r _�.� � rY l � 3 <br /> `- Siynatwe Date <br /> I ' <br />