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�c Page 2 0l� <br /> 2013-03-OS 21 50.13[GL7Ti From t.iarh Leon <br /> ELECTRICO�L PERMIT APPLIC/�►TION <br /> CITY OF EVERETT PERMIT SERVICES <br /> il 3200 CEDAR STREET", EVERETT. WA 98201 <br /> 425-257-8810 - Fi�,X 425-257-8857—wwvd.everetlwa.org 2 `CJ��7j <br /> J <br /> I APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 1-�3���0�� <br /> L <br /> i <br /> 10500 Holly Drive, Everett WA 98204 � <br /> �� PROJECT ADDRESS I <br /> Dennis Hancock 10500 Hoily Drive Everett WA 98024 �°� �°°� , <br /> Owner Maii Addrcss Ciry Stale/Zip Phcne <br /> lenanl �1ailAddress City Slale/Zip Phone � <br /> PAark Leon (RepairPro, LLC) 10924 Mukilteo Speedway 1274 Mukilteo WA 98275 """"" ! <br /> IGlectrical Contractor Mail Addiess CIN Slate/7_ip Phone ; <br /> j REPAIL*881 P2 $400.00 I <br /> i Contract Price of Work <br /> State License Numb2r 'I <br /> �� Mark Leon I <br /> Proposed Use of Building . Conlact Person (Plan Review) I <br /> � <br /> I <br /> Square Footage(If residential new construction, remodel or addition) ' <br /> ,, oeS���P��o�ofWo�k�oB�oo��: Replacement of baseboard heater. <br /> '� I <br />.� _ !� <br /> , <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE � ; <br /> BE IN RACEWAYS, MC OR AC CABLE. ' <br /> �� .. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certiry thaf I have read and examined this apF'��calion and know the same to be tiue and � � � � /��� <br /> corrr,cL All prqvisions of Imvs and ordinances govemmg Ihis type o(work�rill be completed <br /> �.Vieth�rspecil�eU Item(n vMof. rhe yran(uiy o/a pennA daes no(preswne fo yive uulhu�ity(o <br /> wolato or cancel the p�uvisions o/ar�y other slu(e oi luc�lluw reyuld(rny conshuc0on o�t0e <br /> perlonnunce u/conslruc6on. Tha(1 an�eu(borizeJ by!he owner oRhis piooeRy to per/onn the <br /> iru�k lonvhiuh app(ica(ion is nrade and 1 r.omply�vilh the Sfafo Conf dors Law 1817 RCW ond <br /> 296.200 WAC. � <br /> �"�–� .- i <br /> � ���� f � �.�. � �7 <br /> — Signature . Da e <br /> . . __ __'_- _.__--_ <br /> ._.. . . .. _. . ._ . . _.. <br /> __ ..i .-,..� l.':-�^'�:s'_ry __ <br /> _.— _ :._.. .,_,x � �_.. . '_ <br /> cRt• v.'� .'.Y. <br /> t ��� <br /> xi.. <br />