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Dec 22 10 11:40a Five Star Electric LLC 2535380331 p 1 <br /> El_ECTRICAL PERMIT APPLICATI�JN <br /> CITY OF EVERE3T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE7T, WA 98201 /'�.�� �-l� <br /> 425-257-8810 - FAX 425-257-8857—w�rnlv.everetlwa.org <br /> �l �/z�l 3 3 <br /> APPLICATIONS ARE ACCEPTED .'*t?UM 8 AM TO 4 PM <br /> 15cc- 5�,��str �Sfi S-u;-+�e 3Ci: <br /> PROJECT ADDRESS <br /> L <br /> OWnef MailAddress C8y StalerLip Phonc <br /> Lead.�a Edc,e C�iW�Mn45-hcs. 7�1 oc�yst. s�f �v��etfi W� 9�7� � <br /> Tenant �7ailAddres City Slafe2ip Phone <br /> +;�;n 5-Fc.� �ZLc.c�r;c LLC..r{�u �iorC kl?Jl`b T�;_.:J�vi �"It �tL'y�! � <br /> EIeC�ricalConlrector M17aXA'ddress Ciry StatelL'q Phone <br /> t=covs�--`��fC�,2►= =� 2 �5�-'c <br /> State License Number Contrac[Price of Work <br /> ( `'�J 1'V�v"1C�S!l.lwl <br /> Prop ed Usc of 8ui!ding Contxt Person (Plan Review) <br /> DescriptionoiWarktoBeDone: �e-rt:�t—�2 �1 ��45 W�'U.f W�'Ic�.c:._s� 5 5 �C�� 1.�2(�2- <br /> w�vlcl, ei��. 1(c 4- QJa� r,utle,�5. <br /> NOTE: WtRInG IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN �L:CEWAYS, MC OR AC CABLE. <br /> �l� S� <br /> CITY OF EVERETT LOCAL SqLES TAX CODE IS 3105 <br /> I hereby certily fhaf 1 have read and examined this application and know fhe some to be frue and <br /> correcf. All provisions o(laws ond ordinances governirtg fhis type of work titidll be compfeted <br /> whelherspecified herein ornoL The granling ol a pennil does rot presume to give authonty to <br /> ao7ale or cancel the provisions ot any other state orlocal lar,�regufating construc6on or fhe <br /> peAomtance of cons[rvctwn. Thaf I am rtuthonzed by the ownerof thisPrope�:y to pedorm the <br /> �vorn for vfirch applicafion is made and I comply with!he Sfate Contrac.ors Lai•r 48.27 RCW ond <br /> 296.ZG0 WAC. <br /> ��('�; - 1Z' � - l� �Ql� `�� <br /> SlgnaNrc �� <br /> TI,�.Ct,Se- C[L�� 253 ' 'Z�i`!:Ss.�� � Ct ItiZQr'1'f C�.TCc�+�'� Cfcf� <br />