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425-752-1666 C M HEATING 12 3: 13p m 09-17-2011 5�7 <br /> ELECTRICAL PERMIT APPLICATfON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-Z57-8857 —www.everettwa.org <br /> J-/7 -/�1/ <br /> C-iy�-/o 5 <br /> ��D 3 DI m, i c, ���� <br /> PROJECT ADDRES <br /> Tnm I`�ule 7�03 Olyr,v�c `!�r^ EVe�e� WA 98�D3 ��'�70�-� �,y <br /> Owner �dall Ad rtss Clly S;atelZip Phonn <br /> TCnaM Mail Addross City Slafc2:A Phono <br /> CM Fl��ralnc . lyl5 Bro�dw�� Eve�et� L�IA 98an1 ���-���-0�50 <br /> Electrital Cont ctor A1ail Address � Clly SlaleR�p Peo�e <br /> 1'riNE�Nt+18��Dn/ <br /> S�ale license Number(required) Cily ol Evorell Business Ucense Number(required) <br /> I�PSYr�Pn�n L - .S�R- � �O. o 0 <br /> Proposed Use of Building Conlract Price of Work <br /> �ebb�� ?3a.unrs �/��-�-59-0550 <br /> Square Foolage (II resldenlial new conslruction,remodel or addilion) Con�acl ParsoNConlact NumhedEmail <br /> Number ot devices Qf low voltage) <br /> _ I ) �� •� <br /> Descnplion of Work lo Do Danc: .l�1J'fd- P Cr��IPa� . U�l �kJtt�0�� _ <br /> FEE <br /> CITI'OF EVERETT LOCAL SALES TAX CODE IS 3105 ��1./�J <br /> I hen.Gy coriily thal I havo raad and eraminod fhls npplicafion and know fhe samo to bo hvo anJ _ <br /> conecL All pruv�sions of la�vs and o/dinances governing fhis typa ol wo�k will6o comple(ad <br /> �vhelhcr spocified lwmin ornoL The granling of a pormd does nol pmsume(o givo authonry fo PERMIT# <br /> violato or cnncel fhe provislons ol any other sfato or local la�v mgulafing consfrucfion or ff�e r I ��� _ I O(�' <br /> peRomranco of consfrucGon. Thaf I am nufhonzed Gy tl�e owner o/fhis property ta peAonn fha C j <br /> worN for�vblr.h applicalion is mado ond 1 compty�wtb(hc Sla�a Contraclors L�w 78.27 RCW and _ _ <br /> 296100 WAC. <br /> C �'�7'�`Y <br /> SI naturc Dale <br /> L <br /> flf��5:008C6^OH <br /> � <br /> � <br />