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age: 2 0£ ?. 10/1/2014 04:52 PM T0:14252578857 FROM: Donna Barner <br />N2064915506 r � <br />i EL�CT'RICAL PERMIT APPLICATlOPd <br />CITY OF EVERETT PERPVIIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8870 - FAX 425-257-8857 — www.evereltwa.org <br />5932 Lombard Ave SI: <br />PROJECT AD�RESS <br />Ryan Dubois <br />Ovmer <br />Tenant <br />ARIPGD Electric <br />Eleclrical Contraclor <br />5932 Lombard Ave SE <br />Mail Address <br />Mail Address <br />I'.O. Bo� 868 <br />Mail Address <br />AMPEDEM907D4 <br />State License Numbcr (required) <br />Single Fa�nily Rcsidcnce <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of de�•ices (If low vollage) <br />Everett, WA <br />Cily <br />Ciry <br />Evcrett, WA <br />City <br />C_=�S'iB —D/� <br />/D— a- —� �f <br />98203 206-779-3439 <br />Stale/Zip Phono <br />State/Zip Phone <br />98206 425-5�3-6414 <br />StatdZip Phone <br />oas�iz <br />Cily oF Everett 8usiness License Number (required) <br />Contract Pnce of Work <br />Ryan Duliois / (20b) 779-3439 <br />Contact Perso�i/Cor�tacl NumberlEmail <br />oescription of Work to Be Done: Install circuit5 for ductlesg he�t p�ip <br />CITY OF EVERET� LOCAL SALES 7AX CODE IS 3705 <br />I hereby certrfy that I have read and examined this applica(ion and know (he same lo be Vue anA <br />correct. AI! provisions o( laws and oid:'nances govarning fhis fypo o/ work will be complefed <br />whelher specifrod herein or noL The granfinq ol a permit does not presume fo give authonty to <br />violafe or cancef the provisions o/ any other state or loca! law regula(ing construclion or Iho <br />peAo�mance o/ cons(ruction. Thaf I am authorized by fhe owner ol lhis property to per(orm fhe <br />�vork lor which applicatron is made and I compty with tho Sfafe Contractors La�v 18.27 RCW and <br />296.200 WAC. <br />,r_�r�s_� <br />..�.�._ <br />fiEw5E0 pQ'U6201J <br />/O—/-/ <br />FEE <br />JV� <br />PERP7IT# <br />E I'� I 0- � I 8 <br />PHO <br />