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12/19/2�14 15:�2 4254897°36 HOIdE RUN EL[CTRiC PAGE 02/02 <br /> ELEGTRICAL PERMIT APPLICATION , <br /> CITY OF EVERETT PERMIT SERVICES ' <br /> 3200 CEDAR STREET, EVERETT, W/198201 <br /> 425-257-8810 - FAX a25-257-8857 -Nnvw.everettwa.org <br /> /lDal / Sr � �S'�, Ev��TT, �rJf� 9B�oB <br /> , <br /> PROJECT ADDR[SS <br /> �v s�_/,�,✓ /'l9 3 y /�3�`'!fa� 5E y�zr>> Gci.4 93�'>� <br /> Ownor I,tail Atlare55 Ci�y Slate/Zlp PhonO <br /> I Ten�� tdaa.eddrosc C�,y Staie�Z+o PhDnq . <br /> �/YIE /CC�/1 �l�Z�Tl�C QQ. �iro7�J �D7'�/G�� 6{/�I 9B0`// �1�5-�/8'�d79 <br /> [lectncal Contraclor bta�l AdCress C�ty SleteR�p Phone <br /> I l-�r�mErz�-9 �yfc.� �l�oi 9 <br /> State License NumCer(rpquire0) Gry of Evorot�fiusinoss License Number(reduired) <br /> ,Q�blc��u�iAl �soo.00 � <br /> Proposed Use of BuilGinB Cantrad Pnca of bVork <br /> /7lieai�E� s.�•T�r ,�f�sv.ayo/ <br /> Square Foolago(II rv5ltlentlal now wnstrualon, remoaei or atlmhun) Contact Porsoru'Conlacl Number/Email <br /> / <br /> � Number af dev�ces pl low vallage) <br /> � Description of Work to De Done /\�u�/�E'�` Ou r �l.�iG Ui�UG �AN,�/JGE�� o?L/6i�i'�' 3 �JLuS4 <br /> FE[ n <br /> CITY OF [VFRETT LOCAL SAIES TAX CODE IS 3705 �-�7� (.,�� <br /> !hwoGy cvrtily Ihaf!hovu niad and oxnnrinad fhis upplicahon ane know Ihn samR tn be Luo nnd <br /> I � <br /> corr�cf. All piovisions o(laws and ord�nancos goveming(his fypo o/work�rlll be Comp/ofod <br /> u�hafho�spocd�od herom or no(. Tbe gr�n(1ng ol a ponnrt dons nof oresume!o prve t7uthOnry lo pE(u.�n'�; <br /> ro�ato or r,gncai U�e provisions ol any othor sfate or iocal!aw�apulahnq conslrucfiCn oi(ho ^ I � I� _`�� <br /> per/o�mance o�consVucfion. 7ha!�am aut�wrized Uy tha ownor ol fMs property fo pedorm fhe C I <br /> hvrk lo�..trich epplrcalon rs mado ond f comply�ifh�ho Sfofo Contracfo�s Law 18.27 RCW und <br /> 29n200 IhAC <br /> � � e � � � ,d�y,� <br /> s�p���,�, f �:,��� <br /> aE�+SlfC oe:t:9u <br />