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Feb. 17.2015 1:17AV1 ?Ja.')457 F i <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-26/-8810 - FA)(425-257-88b7—wvrw,evereltwe.ur3 <br />PROJECI ADDRESS <br />LII���A , — <br />UWner Moil ACdra6[ /ye <br />Tenant - — Mal Addreaa <br />L BttrV al Cenuucror Mad AanIuss `�I1 <br />T Lti t I S SI o <br />SInIa i^ n6eNumber (roquireono) <br />Sl _ <br />Prop- a use of Building <br />a ' J) <br />Square Foulago (II r sdential new construction, remodel or addition) <br />Numbor of devices voltage) <br />Description of Work )o Be Done: <br />r <br />CITY OF GVLHL I'r t OCAL SALES TAX conE is Smee <br />Sla-dzlp <br />S erzir <br />CS 156") --Oa\-, <br />--1 *7-15 <br />�• d <br />l' one <br />Phone <br />City sle'e2ip Prime <br />(d5 �) 7'3&--7x31 <br />P �D1si <br />City of Everett UUmnass License Number (required) <br />9117Y' <br />Contra/Price of %". * <br />Contact Porscn or N mbar/Email ! � <br />I horuby csrhfy that I have rood and examined this application and know thin same to be true and <br />correct All provisions of laws and ordinances governing this 4 po of work will be compretod <br />nhofhor spociaad heroin or not The granting of a permit does flog presume to give aulhorly to <br />vlorare or cancel the proNsrons of any other state or Iml law regulating construction or tho <br />porlormance of cow1i,wrion That I am oughonzed by the owner of this property to peromi (he <br />wak for which application is made and t comply w'th rho State Contractors Law 16.27 RCW and <br />RE0SE00& WS14 <br />f-pv f �^c <br />FEE 15 o <br />PFRMFF; <br />E 0rC�02-02-6 <br />