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ELECTRICAL PERMIT APPLICD.TlQN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> /O --0 �'-�3 <br /> �"13 �o"Dd3 <br /> 1025 Grand Avenue <br /> PROJECT ADDRESS <br /> �ill Vosburg 1025 Grand Avenue Everett WA 98201 <br /> Owner Nail AdAress City StatelZip Phone <br /> Tenant Mail Atldress Gry Slate�L�p Phone <br /> Alpha and Omega Electric 9531 31st Ave SE Everett Was 98208 h25-337-3006 <br /> Eledrical Conlracl0r Mail�tlaess Cny Slatc/Zip Phone <br /> ALPHAaE962K6 SG20.00 <br /> State License Number CoNracl Price of Work <br /> Home Nathan Turner <br /> Proposed Use of�uilding Conlact Person (Plan Rewew) <br /> Square Foolage(It�csidenGal new conslruclion, remodel or addilion) <br /> Number ol devices(If low voltage) <br /> / <br /> Desa�ption of Woik ro Be Done. ��ew outicts, lighl swiCch wa11 hcater <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS�105 �J� � <br /> V <br /> 1 hacby certify IHaf 1 have read nntl exanrined!lris applrcafion and know Ihc samc fo be Inie and <br /> conecL All provisions o!laws and ordinances goveming tbis type ol worh will br. cornpleled <br /> whelher specdied herem ornol The granln�q ol:.pennd Uocs nnf p�esume fo grvc airthority lo PERMIT� <br /> violale o�cancel lhe p�ovis�ons of any other slate or loca�law regula(ing r,onsln�c6on or the <br /> perlarmnnce ol conslniclion. Thal I am.ufhonzed by fhe mvner ol fhis property fo peAonn Ihe E � 3� (� "�� `3 <br /> work!or which.pp6cafion is made and 1 comply wdh fhe Sfafe Confractors 1-aw iB 27 RCW and <br /> 296.200 WAC. <br /> � Y .�,�w�— �°/i�/3 <br /> s�9�„w�e o,i� T <br /> r+e viscn,x,n . . <br />