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ape: 2 of 2 <br />[ N2064915506 <br />0£3/12/2014 10:33 AM T0:14'L52578857 PROM: Uonna Barncr PH <br />------ � -- � <br />-- -- <br />� <br />ELEC � RICAL P�Ft�lllT AF'PLI%�T�Oi� <br />CtTY Gr EVERETT PERMIT SERVICES � <br />32G0 CEDAR S i RE[T, EVERETT, bVA 98201 <br />a25-257-8870 - FAX �l�S-257-8857 - v,:,w everettwa org <br />��=��L�4� �/�//'`�t�� �� _ � <br />PROJECT ADDRESS <br />%inn,i /�-F:���f�-- ��`�`;4� !/�/c'iN�� ,Fo �✓c�rTr `��7c-� ��� <br />- . C-vi;/ i.r.�'-`.7.Z-f;<-Y- <br />, Ov,oar rta'u Aamess <br />Gty SIa1e/2iP Phoni� <br />� Tendnl M1!a� AAtlrn;; G!y 5!et9'Zip Phcrr. <br />�%.�✓�C_/> ��_LF['T.C''iC !�!-'%�-�y �rE>� F-'v"rief=-. % �<�9���3t� /13=5".�.�_� �� �. <br />F!•:ctncal Contrac.tor �,faii n�c•c;s - <br />i �'�0' Slato:Z�a pror�; <br />� . ���� � f- /'� /(i � J �/ <br />'�.� �te LicCnsa Numbqr <br />�i Proposrcf Use ol Buddiny <br />Square Footage (If resioential new conslruchon, remodel or adtlihon) <br />I <br />,,' Num6er of dewces (If low volWge) <br />� Descnivion of Work to �e Dona lL <br />' � �z.� <br />r <br />�.l' C',.t c_(t! l� <br />Conirar,t P•ice af Vdork <br />Gontar,t Ferson (plan �;eview) <br />f- � <br />�'7 (- -C/C'�C_i["1� <br />R <br />', , e� — -- ---I ' <br />i CITY OF EVERETT LOCAL SALES'.'AX CODE IS 3105 /� ` 6j <br />�; U <br />I herehl' �crldy lhaf I have rcad ar�d Ca.vnmed Ihry ,�ppLr2itron antl kno�v fhe sdme (o he 6Uc ano <br />, carrecf All provrsions o/laws and oiduuinces yo�rvrunp this typo ol �vork wdl be complefeU - — � <br />� nbefhei specdied hemm or no( rhe yranfmg ol a pomuf does not presurno to give aulhonry to pERh1ITi1 �� <br />violafo o� r.ance! Ihe piovisons ol �ny olher sfafe orlocLllaw requla(r,iy cons(ivc6on o� (he �j /� I <br />j penormance of construcfion Th�f 1 am aufhon�ed b}� fhe ownr.r ol fli�s propehy fo uedonn Ihe E �� D D" `� �� I� <br />� u�ork lor irhiCb appl,c.i6on is made and I comply wrfh the Sfate Con!racfors La�v f9.?7 RCW and � <br />296.200 WAC � <br />1 I, <br />�i � /'�� L2.,G K_��.�c/ � - � .Z -� � ' <br />� �ign^ture Uate I <br />� �rvr�tc u�.;: <br />