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Apr i 5 14 08 39a Fernn Eleciric Inc �425-337-7746 p 3 <br /> • <br /> � ELECTRICAL PERMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE�T, EVERETT, WA 9820t <br /> 425-257-8810 - FAX 425-257-8857—ww,v,everettwa.org <br /> I <br /> � <br /> �� �,�i 3c �� 4��� Sf Li.�� c� � <br /> PROJECT ADDRESS � <br /> S �� � r 1LG S'v �uv,-�t /'u%/�.iy CI.� ] <br /> � tii ��-ic_ S�� �I�c-- �o� F;,�z.r�t� t., r�- 9�'"�a`( 95 3 �F�c� <br /> Oi+'ner Yal�4lamss C�ry StatrJZip Phone <br /> I <br /> 7Enant !,1oi1 AOdreS; Ciry SIalPlZlp Phonc <br /> �C�rri�,� F_1c�.l�izi.�c. Qo��o'�. 12G[oF /)li(�C��ol� ��r� SF;�'L �fJf3f� S3�' <br /> EleCinqlConL�CNr MalAd7n�, Crty SlatelLP Plwne <br /> ���� 1 F � ��G �' � <br /> State Ucense N�mber Cor.�ac!Pr.�et Work <br /> �,� � �v �1.ti-' �k1� �� ��•�17J �1h�1'L� <br /> I Proposetl Use cf Duild�ng Cont Person (Plan Rev�ew) <br /> � L�� <br /> ' Syuare Footage pt residential new constru�io�,�emockl M adUrtion) <br /> Number of.;e�ces Qf iaa•vol[a9e) <br /> 1 <br /> Uesaipti�n of 1Nork to Be Done �v i ��- �' � -' �/�r �C. `(���^-i �. ��i..w�'�/ s.. . <br /> j �, � -r� -; i�1.�..� c���r%1 �— `�1-i� <br /> � I <br /> I <br /> � ZC� � <br /> CITY OF EVERETT LOCAL SIILES TAX CODE 15 3105 <br /> 1 h.ereby crrtiFj that f l;ave/aad and etamirteA tAis appi�cafion andlu+av Lte samc to be Uuc artd <br /> cnrred. A!I pravivons o/laws and�nar�ces gpvominq tltislype of work kilf rye cmty�lefed <br /> whetfmr spec�7�cW hefcin or no4 The rg�rrJr;q of p permit dces not pnrtsume h�grve au(honTy fo P[RM1T;� <br /> wolofe or concN fhe p�ovisons of any ofber st�le or lxa!/aw mgulabng oonsfv�on orlhe <br /> pedonnanca of cons7iuctlon. That I am authonzed by fhe o�mer o7this proprrty to pcAorm!he <br /> work Ior which 3 Ircahon is made and/comply with fho Slafo Contiac(ors Law 78.27 RCW ana � �O � O� I <br /> 29 WAC. <br /> '� � , �� � �I 5 I � <br /> S�gnalum U,3�� <br /> _'__ —..— ____—_� <br /> I2Y^)Y.'bi]'—_ <br />